Parotid sialolithiasis

Parotid Sialolithiasis in a 17-Year-Old Girl

Sialolithiasis, caused by stones in the salivary glands or their excretory ducts, is one of the most prevalent salivary gland diseases. However, it is uncommon in the pediatric population and in the parotid gland. Both conservative and surgical methods are satisfactory options for sialolithiasis treatment. Small stones (<4 mm) located distal to the intraparenchymal gland often respond to conservative treatment. If medical treatment is anticipated to fail or the stones are medium or large sized (≥4 mm), surgery is the preferred option. This report describes a rare case of intraglandular parotid stones in an adolescent patient.

Parotid sialolithiasis and sialadenitis in a 3-year-old child: a case report and review of the literature

Background

Salivary gland calculi are common in adults but rare in the paediatric population. It accounts for only 3% of all cases of sialolithiasis. Parotid ductal calculus is rare as compared to submandibular ductal calculus.

Case presentation

A 3-year-old boy presented with acute painful right parotid swelling with pus discharge from the Stensen duct. Computed tomography revealed calculus obstructing the parotid duct causing proximal ductal dilatation and parotid gland and masseter muscle oedema. The child was treated with conservative measures, and subsequently the swelling and calculus resolved.

Conclusions

Small parotid duct calculus in children may be successfully treated with conservative measures which obviate the need for surgery. We discuss the management of parotid sialolithiasis in children and conduct literature search on the similar topic.

Spontaneous cutaneous extrusion of a parotid gland sialolith

Parotid gland sialolithiasis is an uncommon condition that can cause pain and recurrent infection in affected patients. Migration of a stone through a fistula is a rare but possible complication of untreated sialolithiasis. We present a case of parotid gland sialolithiasis in a 63-year-old woman with recurrent episodes of parotitis and facial pain, which resolved through spontaneous extrusion of the stone (11 mm) through a cutaneous fistula while awaiting surgery. Management is typically conservative or surgical, depending on the location and size of the stone, and the clinical presentation.

Parotid sialolithiasis in a two-year-old boy

Sialolithiasis is caused by the obstruction of a salivary gland or its excretory duct by the formation of calcareous concretions or sialoliths; this results in salivary ectasia and provokes subsequent dilation of the salivary gland. Sialolithiasis is relatively common, accounting for 30% of salivary diseases; however, it is rarely observed in childhood. This case report describes a 2-year-old male patient who complained of a painful swelling over the right cheek, and presented with palpable stones and pus discharge from the orifice of the right Stensen's duct. Computerized tomography of the neck confirmed the diagnosis, and the patient received intravenous empiric antibiotics combined with intraoral sialolithotomy. We also provide a review of the spectrum of concepts regarding the pathogenesis, diagnosis, and treatment of sialolithiasis.

Oversized submandibular gland sialolith: a report of two cases

Sialolithiasis is a very common reason in causing obstructive salivary gland disease. Its incidence in males is more than females and children. They usually occur in submandibular ducts or gland and are 1 mm to less than 1 cm and rarely more than 1 cm. If they are more than 15 mm then, are termed as sialoliths of unusual size or giant sialoliths. The literatures have reports of up to 3.5 to 7 cm stones and are rare. The management includes removal of stone and re-channelizing the secretions in a functional gland or excision of gland in atrophied glands along with stone.

Multiple sialolithiasis in sublingual gland causing dysphagia

Background:

Sialolithiasis is a common disease of the major salivary glands, but it is rarely seen in the sublingual gland. Patients commonly experience pain and/or swelling, but dysphagia is presented in extended lesions.

Case Report:

In this report we present a 67-year-old woman who had 268 sialoliths in the sublingual gland, forming a huge mass and causing dysphagia. The diameter of the largest sialolith was approximately 4 mm. The diagnosis of sialolithiasis was confirmed pathologically.

Conclusions:

Multiple sublingual gland sialoliths are considered rare; they may cause symptoms like dysphagia and speech difficulty. To our knowledge our patient had more sialoliths in a sublingual gland than any previous reports in the literature.

Giant Salivary Gland Calculi (GSGC): Report Of Two Cases

Sialolithiasis is the most common disease of salivary glands. It is a condition characterized by the obstruction of a salivary gland or its excretory duct due to the formation of calcareous concretions, resulting in salivary ectasia and even determining the subsequent dilatation of the salivary gland.

The sialolith usually measure from 1 mm to less than 10 mm. They rarely measure more than 15 mm. Infrequently giant salivary gland calculi (GSGC) >15 mm have been reported in the literature. The submandibular gland and its duct appear to be the sites most susceptible to this disease.

The aims of this article were: 1) report the cases of two patients suffering of sialolithiasis caused by giant salivary gland calculi occurring in the Wharton’s duct; and 2) present the results of the literature’s research on giant sialolith.

The diagnostic approach of the two cases consisted of trans-occlusal endoral radiography, orthopantomography, CTscan. The patient’s glands were treated with conservative trans-oral surgical technique stone removal in both cases, performed under local anaesthesia.

The glands recovered normal function quickly after removal of the stones.

For the patients the morbidity associated with salivary gland calculi removal follow-up showed asymptomatic and normally functioning glands.

Extra-oral approach to removal of parotid duct stones

There are many different management strategies for salivary calculi within the parotid ducts. Commonly, the stones can be extracted via an intra-oral approach. Stones that are farther from the papillae require more complex management. This article describes a technique for extra-oral excision of palpable salivary calculi using known external facial landmarks and dissection. Two cases are discussed and illustrations shown, and a brief discussion of other techniques for the management of salivary stones is included.

Benign salivary gland disease

The majority of benign clinical problems that present affect the major salivary glands--parotid and submandibular. However, there are numerous minor salivary glands located in the mucosa of the head and neck which have the same predilection to the same diseases that affect the major glands but to a lesser frequency.