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Mao JS, Lee YC, Chi JCY, Yi WL, Tsou YA, Lin CD, Tai CJ, Shih LC. Long-term rare giant sialolithiasis for 30 years: A case report and review of literature. World J Clin Cases 2023; 11:5376-5384. [DOI: 10.12998/wjcc.v11.i22.5376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 06/01/2023] [Accepted: 07/06/2023] [Indexed: 08/03/2023] Open
Abstract
BACKGROUND Sialolithiasis is one of the most common salivary gland disorders, most commonly affecting the submandibular gland. Submandibular sialolithiasis can be treated using non-invasive conservative measures and invasive treatments. Treatment selection was based on the ductal system anatomy and the size and location of the stones. This study aimed to review the updates on sialolithiasis treatment and compare the different management strategies of the variables.
CASE SUMMARY This report presents a case of a long-term, rare, and giant sialolithiasis within the submandibular gland parenchyma for 30 years in an older adult. Our patient presented with painless right submandibular swelling. Computed tomography revealed a calcified mass measuring 35 mm × 20 mm within the right submandibular gland. In this case, the infection and fibrosis of the affected gland and size of the stone did not provide us with other alternatives except for the excision of the involved gland. Thus, right submandibular sialoadenectomy was performed via the transcervical approach. After the surgery, the patient recovered without any complaints, side effects, or complications.
CONCLUSION Tailored management is important for preserving gland function, maintaining low risk, and reducing patient discomfort.
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Affiliation(s)
- Jit-Swen Mao
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
| | - Yu-Chien Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
| | - Jessie Chao-Yun Chi
- Department of Otorhinolaryngology, Head and Neck Surgery, Taichung Hospital, Ministry of Health and Welfare, Taichung 404, Taiwan
| | - Wan-Ling Yi
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
| | - Yung-An Tsou
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
- Department of Otorhinolaryngology-Head and Neck Surgery, Asia University Hospital, Taichung 404, Taiwan
- School of Medicine, China Medical University, Taichung 404, Taiwan
| | - Chia-Der Lin
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
- School of Medicine, China Medical University, Taichung 404, Taiwan
| | - Chih-Jaan Tai
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
- School of Medicine, China Medical University, Taichung 404, Taiwan
| | - Liang-Chun Shih
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
- Department of Otorhinolaryngology-Head and Neck Surgery, Asia University Hospital, Taichung 404, Taiwan
- School of Medicine, China Medical University, Taichung 404, Taiwan
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Mao JS, Lee YC, Chi JCY, Yi WL, Tsou YA, Lin CD, Tai CJ, Shih LC. Long-term rare giant sialolithiasis for 30 years: A case report and review of literature. World J Clin Cases 2023; 11:5382-5390. [PMID: 37621584 PMCID: PMC10445064 DOI: 10.12998/wjcc.v11.i22.5382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 06/01/2023] [Accepted: 07/06/2023] [Indexed: 08/04/2023] Open
Abstract
BACKGROUND Sialolithiasis is one of the most common salivary gland disorders, most commonly affecting the submandibular gland. Submandibular sialolithiasis can be treated using non-invasive conservative measures and invasive treatments. Treatment selection was based on the ductal system anatomy and the size and location of the stones. This study aimed to review the updates on sialolithiasis treatment and compare the different management strategies of the variables. CASE SUMMARY This report presents a case of a long-term, rare, and giant sialolithiasis within the submandibular gland parenchyma for 30 years in an older adult. Our patient presented with painless right submandibular swelling. Computed tomography revealed a calcified mass measuring 35 mm × 20 mm within the right submandibular gland. In this case, the infection and fibrosis of the affected gland and size of the stone did not provide us with other alternatives except for the excision of the involved gland. Thus, right submandibular sialoadenectomy was performed via the transcervical approach. After the surgery, the patient recovered without any complaints, side effects, or complications. CONCLUSION Tailored management is important for preserving gland function, maintaining low risk, and reducing patient discomfort.
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Affiliation(s)
- Jit-Swen Mao
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
| | - Yu-Chien Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
| | - Jessie Chao-Yun Chi
- Department of Otorhinolaryngology, Head and Neck Surgery, Taichung Hospital, Ministry of Health and Welfare, Taichung 404, Taiwan
| | - Wan-Ling Yi
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
| | - Yung-An Tsou
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
- Department of Otorhinolaryngology-Head and Neck Surgery, Asia University Hospital, Taichung 404, Taiwan
- School of Medicine, China Medical University, Taichung 404, Taiwan
| | - Chia-Der Lin
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
- School of Medicine, China Medical University, Taichung 404, Taiwan
| | - Chih-Jaan Tai
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
- School of Medicine, China Medical University, Taichung 404, Taiwan
| | - Liang-Chun Shih
- Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
- Department of Otorhinolaryngology-Head and Neck Surgery, Asia University Hospital, Taichung 404, Taiwan
- School of Medicine, China Medical University, Taichung 404, Taiwan
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Ashindoitiang JA, Nwagbara VIC, Ugbem T, Odoks RK, Udo Solomon A, Akpan SO, Ogamba N, Asuquo ME. Huge sialolith of the submandibular gland: a case report and review of literature. J Int Med Res 2023; 51:3000605221148443. [PMID: 36624984 PMCID: PMC9834782 DOI: 10.1177/03000605221148443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
The formation of stone in the ductal system of the salivary gland is termed sialolithiasis, with the submandibular gland being the most commonly affected. The precise aetiology is unknown but certain factors peculiar to the submandibular gland accounts for its likelihood of developing a calculous disease. Stones are classified based on their dimension, and may be silent or present with symptoms attributable to the size, location and complications. Here, a 50-year-old female who presented with a painless swelling in the left submandibular region that had grown slowly over the previous year, is reported. Following clinical and radiologic evaluation, left submandibular stone disease was preoperatively diagnosed. The patient underwent sialoadenectomy with transient palsy of the marginal mandibular branch of the facial nerve. Histopathology confirmed sialolith (2.7 cm) with severe squamous metaplasia of the duct. This presentation demonstrates some peculiar features attributable to the size, vertical orientation and location of the stone, in addition to the compression of the gland, thick fibrous capsule and significant squamous metaplasia of the duct. These findings require further evaluation for optimal treatment in view of the emerging trends for managing sialolithiasis.
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Affiliation(s)
- John Adi Ashindoitiang
- Department of Surgery, University
of Calabar/University of Calabar Teaching Hospital, Calabar, Nigeria,John Adi Ashindoitiang, Department of
Surgery, University of Calabar/University of Calabar Teaching Hospital, PMB
1115, Eta Agbo Road, Calabar, Cross River State 234, Nigeria.
| | | | - Theophilus Ugbem
- Department of Pathology, University
of Calabar/University of Calabar Teaching Hospital, Calabar, Nigeria
| | - Rachel Kanong Odoks
- Department of Surgery, University
of Calabar Teaching Hospital, Calabar, Nigeria
| | - Akpan Udo Solomon
- Department of Surgery, University
of Calabar Teaching Hospital, Calabar, Nigeria
| | - Samuel Okokon Akpan
- Department of Surgery, University
of Calabar Teaching Hospital, Calabar, Nigeria
| | - Nzubechukwu Ogamba
- Department of Surgery, University
of Calabar Teaching Hospital, Calabar, Nigeria
| | - Maurice Efana Asuquo
- Department of Surgery, University
of Calabar/University of Calabar Teaching Hospital, Calabar, Nigeria
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Matsumoto K, Tanakura M, Mitani I, Kimoto A, Akashi M. Removal of Large Wharton's Duct Salivary Stones Using a CO 2 Laser: A Report of Two Cases. J Lasers Med Sci 2021; 12:e19. [PMID: 34733742 DOI: 10.34172/jlms.2021.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: Salivary stones inside the Wharton's duct adjacent to the mylohyoid muscle are often removed by a little incision of the mouth floor under local anesthesia. However, in the case of relatively large salivary stones, a large incision is required, which is commonly accompanied by hemorrhage and the need for surgical hemostasis, resulting in prolonged surgery. Furthermore, troublesome sequelae such as ranula and lingual nerve paralysis can occur after surgical procedures. Methods: Two patients who had relatively large salivary stones (>1 cm diameter) in the Wharton's duct were underwent incision of the mouth floor soft tissues with a CO2 laser. Results: In both patients, the stone was removed in a few minutes without causing abnormal bleeding, nerve injury, or sublingual gland disorders and was completely healed. Conclusion: We report the usefulness and safety of the CO2 laser in two patients with relatively large salivary stones, who underwent successful surgical removal.
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Affiliation(s)
- Kousuke Matsumoto
- Department of Oral and Maxillofacial Surgery, Japan Community Health Care Organization, Kobe Central Hospital, Kobe, Japan
| | - Makiko Tanakura
- Department of Oral and Maxillofacial Surgery, Japan Community Health Care Organization, Kobe Central Hospital, Kobe, Japan
| | - Izumi Mitani
- Department of Oral and Maxillofacial Surgery, Japan Community Health Care Organization, Kobe Central Hospital, Kobe, Japan
| | - Akira Kimoto
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Masaya Akashi
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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Oliveira TDP, Oliveira INF, Pinheiro ECP, Gomes RCF, Mainenti P. Giant sialolith of submandibular gland duct treated by excision and ductal repair: a case report. Braz J Otorhinolaryngol 2016; 82:112-5. [PMID: 26420563 PMCID: PMC9444645 DOI: 10.1016/j.bjorl.2015.03.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2015] [Accepted: 03/27/2015] [Indexed: 10/25/2022] Open
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