Sialolithiasis of minor salivary gland in labial mucosa: a clinical finding / Sialolitíase de glândula salivar menor na mucosa labial: um achado clínico

Introduction: sialolithiasis is the most common form of obstructive sialadenitis caused by a mixture of different calcium phosphates and an organic matrix. It is one of the most common salivary gland diseases, often attributed to the submandibular gland, with no relation to age or gender. However, it is rarely reported in the minor salivary glands. Objective: the present study aims to report auncommon clinical finding case of a sialolithiasisof minor salivary gland in labial mucosa. Case report: a 43-year-old female patient presented with a single, yellow and asymptomatic nodule in the labial mucosa at clinical examination. The clinical hypotheses were lipoma and fibrous hyperplasia. The lesion was biopsied, and the histopathological analysis showed a mineralized tissue. The final diagnosis was sialolithiasis and the patient remained under follow-up (8 months) without relapse. Conclusion: this case shows that sialolithiasis should be included in the diagnostic hypotheses when occur in a minor salivary glands area and emphasizes the importance of a complete clinical examination since it was not complaint of the patient.(AU)

Introdução: a sialolitíase é a forma mais comum de sialadenite obstrutiva causada por um composto de diferentes produtos, como fosfato de cálcio e matriz orgânica. É uma das doenças mais comuns das glândulas salivares, geralmente atribuídas à glândula submandibular, sem relação com idade ou sexo. No entanto, raramente é relatada nas glândulas salivares menores. Objetivo: reportar um achado clínico incomum de sialolitíase em glândula oral menor na mucosa labial. Relato de caso: uma paciente do sexo feminino, de 43 anos, apresentou nódulo único, amarelo e assintomático na mucosa labial durante o exame clínico. As hipóteses clínicas foram lipoma e hiperplasia fibrosa. A lesão foi encaminhada para biópsia e a análise histopatológica mostrou um tecido mineralizado. O diagnóstico final foi de sialolitíase e o paciente permaneceu em acompanhamento por 8 meses sem recidiva. Conclusão: este caso mostra que a sialolitíase deve ser incluída nas hipóteses diagnósticas de lesões em áreas de glândulas salivares menores e enfatiza a importância de um exame clínico completo, pois não se tratava da queixa principal da paciente.(AU)

Patience Pays Off: A Case of Self Exfoliation of Large Parotid Sialolith

Sialolithiasis is one of the common diseases affecting the salivary glands. The submandibular gland is the most commonly affected gland among the three major salivary glands. The incidence of parotid sialolith is rare and when present, often demands surgical removal. Here, we report a rare case of a female patient presented with large sialolith indicated for surgical removal. However, surprisingly, it resulted in self-exfoliation eliminating the need for surgery as the patient had opted to wait.

Analysis of efficiency of sialendoscopy in patients with sialolithiasis

The aim of this research was to analyze 106 clinical observations in which sialendoscopy was performed for diagnosis and treatment patients with sialolithiasis. This research showed, that endoscopy of the major salivary gland ductal system allows to obtain information not only on a sialolith, but also on a condition of ductal system. The obtained data define a method of further treatment. Sialendoscopy can be used not only as diagnostic method, but also as an independent method for sialolith removing or as an assistance. The possibility of sialolith removing depends on its mobility, the size of salivary stone, localization and a salivary duct condition.

An Unusual Case Of Self Extrusion Of A Giant Submandibular Sialolith

Sialolithiasis is the commonest benign disease of salivary glands.It usually occurs in the duct,leading to obstruction of salivary outflow and its associated consequences/symptoms.Of the salivary glands,the submandibular gland is the most frequently affected.Sialoliths usually measure around 5mm in maximum diameter.Calculi measuring greater than 15mm are giant sialoliths and have been rarely reported in literature.Diagnosis of calculi is based on history,examination and radiographic investigations.Management,which aims at the elimination of the calculus and restoration of normal salivary flow,may be either medical or surgical,depending on the site and size of the sialolith,and the condition of the gland.Self expulsion of a sialolith is an unusual occurrence.We report a rare case of a giant Wharton's duct sialolith with spontaneous extrusion into the oral cavity.

Patología calcificante de las glándulas salivales: presentación de dos casos clínicos / Pathological calcification of the salivary glands: presentation of two clinical cases

La calcificación extraesquelética es una entidad patológica de depósito de sales minerales fuera de las estructuras óseas. Los casos frecuentes se presentan por obstrucción mecánica de la glándula salival o de su conducto excretor, asociada con la formación de sialolitos en el parénquima, su verdadera causa no se conoce con exactitud, pero hay distintas hipótesis con respecto a factores locales y sistémicos. La sialolitiasis es la afección más común de las glándulas salivales en adultos jóvenes, 12 de cada 1,000 pacientes sufren de esta patología, con un predominio del sexo masculino. El diagnóstico se puede establecer mediante ecografía, radiografías oclusales, panorámicas o tomografía cone beam. Estudiamos dos casos de calcificaciones de los tejidos glandulares. El primero de una formación mineral dentro de su conducto y el segundo de una calcificación completa del conducto salival (AU)

Extra bone calcification is a pathological entity of deposit of mineral salts outside bone structures. Frequent cases are due to mechanical obstruction of the salivary gland or its excretory duct, associated with the formation of sialoliths in the parenchyma, its true cause is unknown, but there are different hypotheses regarding the influence local and systemic factors. Sialolithiasis is the most common condition of the salivary glands in young adults, 12 out of 1,000 patients suffer from this pathology, with a predominance of males. Diagnosis can be established by ultrasound, occlusal radiographs, panoramic or cone beam tomography. We studied two cases of calcification of glandular tissues. The first is a mineral formation inside the duct and the second is a complete calcification of the salivary duct (AU)

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

Background: Sialendoscopy is gaining in popularity in treating calculus disease. The delicacy of the instrument and the diameter of the salivary ducts are factors that limit the ability to achieve complete success. There is also continued speculation regarding the utility of the procedure, especially among clinicians who are masters of conventional methods like sialadenectomy and sialodochotomy. Objective: To assess the efficacy of sialendoscopy over conventional methods in treating sialolithiasis. Methods: A prospective case control study was conducted in a tertiary care centre; this study involved 50 patients of sialolithiasis, and it extended over a 36-month period. All had undergone treatment, either by conventional methods or interventional sialendoscopy. All patients with nonpalpable calculi smaller than 6 mm underwent interventional sialendoscopy. Failed sialendoscopies and larger nonpalpable calculi were removed through sialadenectomy. The outcome variables studied included calculus removal, postoperative symptoms, and gland preservation. Results: The success rate in terms of calculus removal by sialendoscopy was 88%, versus 100% by sialadenectomy. The salivary gland was preserved in 88% of the cases in the sialendoscopy group. Only 12% of patients were symptomatic. Conclusion: Sialendoscopy was effective in removing calculi of various sizes; it was definitely superior to conventional methods. Sialadenectomy should be reserved for cases either not suitable for sialendoscopy or in which there was an intervention failure.

Sialolito submandibular: reporte de un caso / Submandibular sialolith: report of a case

Un sialolito es un depósito cálcico en los conductos o glándulas salivales; se encuentra con más frecuencia en la glándula submandibular debido a su confi guración anatómica, la alcalinidad de su saliva y su riqueza en mucina. La etiología exacta y la patogénesis son desconocidas. Los síntomas principales son dolor e infl amación de la glándula en respuesta a estímulos salivales. Una obstrucción completa causa dolor constante, infl amación, y pueden estar presentes algunos signos de infección sistémica. El diagnóstico se realiza mediante la palpación intraoral bimanual y estudios de imagenología. El tratamiento dependerá del tamaño y localización del cálculo, y puede ser conservador o quirúrgico. El presente artículo describe un caso clínico de un sialolito submandibular

A sialolith is a calcified stone that forms in the salivary glands or ducts, most often in the submandibular gland due to its anatomical confi guration, the higher alkalinity of its saliva, and its richness in mucin. Its precise etiology and pathogenesis are unknown. The principal symptoms are pain and infl ammation of the gland in response to salivary stimuli. When complete obstruction occurs, the result is constant pain and swelling, and signs of infection may also be present. Diagnosis is achieved by means of intraoral bimanual palpation and imagenology, and treatment depends on the size and localization of the stone; it may be conservative or surgical. The present article describes a clinical case of a submandibular sialolith.

For the old stones in the duct: do we need a new gold standard?

Sialolithiasis is not uncommon condition. Its historical roots can be laid back even to the writings of Oribasius. Over the years diagnostic and therapeutic modalities have changed. Currently there are many imaging modalities which can be used to detect sialolith and even 3D imaging is available. But for all practical purposes the conventional radiograph will suffice when the sialolith is in the anterior floor of the mouth.

Sialolithiasis in a 10 year old child.

Sialolithiasis is often observed in the oral region, and is caused by the development of a calculus in the salivary gland or duct. This disease is mostly seen in adults or young adults, and seldom develops in children. Of all the cases of sialolithiasis, only 3% are seen in the pediatric population. The clinical presentation typically consists of a painful swelling of the involved salivary gland at meal times, as the obstruction is most acute at this time. The clinical signs often lead to an easy diagnosis. The salivary gland most commonly affected is the submandibular gland. In this paper, we have reported the case of a 10 year old female with sialolithiasis of the left submandibular duct. The treatment consisted of the use of lemon and orange drop candies, which stimulated the salivary flow and in turn resulted in the expulsion of stone.

Down's syndrome patient with multiple sialoliths in Stenson's duct.

The presence of multiple sialoliths (calculi) in parotid duct is considered extremely rare. Parotid duct sialoliths are usually small and single. Multiple calculi formation, in any case, is an uncommon finding in the salivary glands. Salivary lithiasis is comparatively common in the Wharton's duct due to its tortuous ascending course and chemical composition of saliva of submandibular gland. The mechanism of sialolith formation in Down's syndrome patients is not completely known, and there are seldom cases reported in the literature available. The present case report is a very rare combination of a Down's syndrome with multiple sialoliths in Stenson's duct of left parotid gland in a 21year old male patient.

Parotid Sialolithiasis - Review And Report of A Case.

Sialoliths are calcified organic matter that forms within the secretory system of the major salivary glands. Salivary gland calculi account for the most common disease of the salivary glands, and may range from tiny particles to several centimeters in length. The majority of sialoliths occur in the submandibular gland or its duct and is a common cause of acute and chronic infections. While the majority of salivary stones are asymptomatic or cause minimal discomfort, larger stones may interfere with the flow of saliva and cause pain and swelling. The prevalence of sialoliths varies by location. Sialolith in the parotid glands is less common when compared with that of submandibular gland. This case report describes a patient presenting with parotid gland sialolith and review of the literature regarding the salivary sialothiasis.

A Giant Sialolith in a Wharton's Duct: Report of Two Cases

A giant sialolith in a wharton's duct: A case report

Hemangioma with Phleboliths, Misdiagnosed as Sialoliths in Submandibular Gland

Hemangiomas are relatively common benign lesions in head and neck, and are easily diagnosed when they present as cutaneous lesions. However, when a vascular lesion is located within the deeper tissues without a cutaneous component, it results in a large differential diagnosis and sometimes is misdiagnosed even using modern imaging studies. In certain instances, simple radiographic studies may be helpful in diagnosis. Hemangioma in the submandibular gland is extremely rare and when it has phleboliths within it, it is easily confused with calculis in the salivary gland. Recently we experienced one such case. The 63-years-old man complained of a painful bulging mass without cutaneous lesions in the right submandibular area, which had occurred in 2 or 3 times over a 2 year periods. Plain skull films revealed two radioopaque densities in submandibular area and ultrasonography revealed similar findings. Preoperatively he was thought to have sialoliths of a submandibular gland, but it was confirmed as a hemangioma with phleboliths after the operation.