Canicular sialolithectomy of a giant sialolith

Authors

  • Sair Andrés Miquet Vega Universidad de Ciencias Médicas de Granma, Clínica de Especialidades Estomatológicas “Manuel de Jesús Cedeño” de Bayamo, Departamento de Estomatología General Integral. Granma https://orcid.org/0000-0002-1420-9740
  • Yoimar Deronceré Columbié Universidad de Ciencias Médicas de Granma, Clínica de Especialidades Estomatológicas “Manuel de Jesús Cedeño” de Bayamo, Departamento de Cirugía Máxilo-Facial. Granma https://orcid.org/0000-0003-3205-5340

Keywords:

salivary calculi, submandibular gland, salivary glands, calcium sulfate.

Abstract

Introduction: Sialolithiasis is a common disorder of the major salivary glands which presents more frequently in male patients.

Objective: Present a clinical case of sialadenitis due to sialolithiasis of the submandibular gland successfully treated by intraoral canicular sialolithectomy.

Case report: A male 45-year-old patient attending the Maxillofacial Surgery Department at Manuel de Jesús Cedeño Specialty Clinic in Granma, Cuba, presents with discomfort on the floor of the mouth and a hard, mobile and easily movable mass of increased volume. Radiographic examination revealed a radiopaque oval-shaped image of well-defined edges, approximately 4 cm long x 2 cm wide. A diagnosis was made of sialadenitis due to sialolithiasis of the right submandibular gland. Symptoms were treated with analgesics / anti-inflammatories and antibiotics. Intraoral canicular sialolithectomy was performed. Rechanneling of the duct was then conducted to allow permeabilization.

Conclusions: Sialadenitis due to sialolithiasis is a condition of a favorable prognosis. Appropriate treatment will have the gland return to its normal physiology, improving the patient's quality of life. In our case, surgical removal was conducted by intraoral canicular sialolithectomy without any complications. The patient had completely recovered after one month's evolution, the treatment being satisfactory both short- and long-term.

Downloads

References

Lombardi A, Arienza F, Cerullo M. Tratamiento de la sialolitiasis. Informe de 22 casos. RAOA [Internet]. 2010 [acceso 24/03/2019];98(3):207-9. Disponible en: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=LILACS&lang=p&nextAction=lnk&exprSearch=594979&indexSearch=ID

Lao W, Sobalvarro K. Egresos hospitalarios debidos a enfermedades de las glándulas salivales,CCSS, Costa Rica, 1997 al 2015. Odontología Vital [Internet]. 2018 [acceso 18/05/2019].;28:41-50. [acceso 18/05/2019]. Disponible en: https://www.scielo.sa.cr/pdf/odov/n28/1659-0775-odov-28-41.pdf

Gadve V, Mohite A, Bang K, Shenoi S. Unusual giant sialolith of Wharton’s duct. Indian Journal of Dentistry. 2016 [acceso 24/03/2019];7(3):162-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5015571/

Singh R, Dhawan A., Bhullar K, Malhotra S. Giant submandibular gland duct sialolith mimicking an impacted canine tooth. National Journal of Maxillofacial Surgery [Internet]. 2015 [acceso 24/03/2019];6(1):89-92. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668741/

Omezli M, Ayranci F, Sadik E, Polat M. Case report of giant sialolith (megalith) of the Wharton’s duct. Nigerian Journal of Clinical Practice. [Internet]. 2016 [acceso 24/03/2019];19(3):414-7. Disponible en:http://www.njcponline.com/article.asp?issn=11193077;year=2016;volume=19;issue=3;spage=414;epage=417;aulast=Omezli

Oliveira T, Fernandez I, Paez E, Ferreira R, Minenti P. Giant sialolith of submandibular gland duct treated by excision and ductal repair: Case report. Brazilian Journal of Otorhinolaryngology [Internet]. 2016 [acceso 24/03/2019]; 82(1):112-5. Disponible en:https://www.clinicalkey.es/service/content/pdf/watermarked/1s2.0S1808869415001299.pdf?locale=es_ES&searchIndex

Al-Abri R, Marchal F. New era of endoscopic approach for sialolithiasis: Sialendoscopy. Sultan Qaboos Univ Med J [Internet]. 2010 [acceso 24/03/2019];10(3):382-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3074741/

Rebolledo M, Carbonell Z, Díaz A. Sialolitos en conductos y glándulas salivales. Revisión de literatura. Av Odontoestomatol [Internet]. 2009 [acceso 24/03/2019];25(6):15-7. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S021312852009000600002

Elluru R. Physiology of the salivary glands. In: Flint PW, Haughey BH, Lund LJ. Cummings Otolaryngology: Head & Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015 [acceso 24/03/2019]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0263931912002025

Zarzar E, Agurto J, Reyes M, Riesco A. Sialolito de inusual tamaño en la glándula submandibular. Reporte de un Caso Clínico. Rev Dental de Chile [Internet]. 2002 [acceso 24/03/2019];93(2):9-10. Disponible en: https://www.medigraphic.com/pdfs/adm/od-2015/od155g.pdf

Ponce S, Ledesma C, Morales I, Garcés M. Sialolitiasis de la glándula sublingual. Presentación de un caso clínico y revisión de la literatura. Rev ADM [Internet]. 2006 [citado 2019 Mar 24];LXIII(1):32-6. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4562259

Jardón J, Texidor R, Alemán O. Sialoadenitis por sialolito inusual de la glándula submaxilar derecha en un adulto. MEDISAN [Internet]. 2017 [acceso 24/03/2019];21(4):455. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S102930192017000400010

Palacios D, Miranda J, Alvarado A, Trillo V, Calderón A. Patología calcificante de las glándulas salivales. Presentación de dos casos clínicos. Rev ADM [Internet]. 2018 [acceso 24/03/2019];75(2):98-102. Disponible en: https://www.medigraphic.com/pdfs/adm/od-2018/od182g.pdf

Debnath S, Adhyapok A. Sialolithiasis of an accessory parotid gland: an unusual case. British Journal of Oral and Maxillofacial Surgery [Internet]. 2015 [acceso 24/03/2019];53(7):658-9. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S026643561500145X

Van den Akker H, Busemann S. Submandibular gland functions following transoralsialolithectomy. Oral Surg, Oral Med, Oral Pathol [Internet]. 1983 [acceso 24/03/2019];56(5):351-6. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/0030422083903419

Jackson N, Mitchell J, Walvekar R. Inflammatory disorders of the salivary glands. In: Flint PW, Haughey BH, Lund LJ. Cummings Otolaryngology: Head & Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015 [acceso 24/03/2019]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0887217106000801?via%3Dihub

Miller-Thomas M. Diagnostic imaging and fine-needle aspiration of the salivary glands. In: Flint PW, Haughey BH, Lund LJ. Cummings Otolaryngology: Head & Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015 [acceso 24/03/2019]. Disponible en: https://entokey.com/diagnostic-imaging-and-fine-needle-aspiration-of-the-salivary-glands/

Hoffmann B. Sonographic bedside detection of sialolithiasis with submandibular gland obstruction. Am J Emerg Med [Internet]. 2011 [acceso 24/03/2019];29(5):574. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1s2.0S0735675710002469.pdf?locale=es_ES&searchIndex=

Downloads

Published

2020-06-18

How to Cite

1.
Miquet Vega SA, Deronceré Columbié Y. Canicular sialolithectomy of a giant sialolith. Rev Cubana Estomatol [Internet]. 2020 Jun. 18 [cited 2025 Jun. 19];57(2):e2364. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/2364

Issue

Vol. 57 No. 2 (2020): APR- JUN

Section

Case Report

License

Authors retain all rights to their works, which they can reproduce and distribute as long as they cite the primary source of publication.

The Rev Cubana Estomatol is subject to the Creative Commons Attribution-Non-Commercial 4.0 International License (CC BY-NC 4.0) and follows the publication model of SciELO Publishing Schema (SciELO PS) for publication in XML format.

You are free to:

  • Share — copy and redistribute the material in any medium or format.
  • Adapt — remix, transform, and build upon the material.

The licensor cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notices:

  • You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
  • No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.