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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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Yeşilova E, Bayrakdar İŞ. Radiological evaluation of maxillofacial soft tissue calcifications with cone beam computed tomography and panoramic radiography. Int J Clin Pract 2021; 75:e14086. [PMID: 33576139 DOI: 10.1111/ijcp.14086] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 02/09/2021] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE We aimed to present the radiologic characteristics of maxillofacial soft tissue calcifications with a comparison of cone beam computed tomography (CBCT) and panoramic radiography (PR) findings. MATERIALS AND METHODS The study was based on CBCT images obtained for different purposes between October 2017 and September 2018. The absence, location and radiological characteristics of some calcifications were evaluated in 252 patients. Statistical analysis was performed with SPSS version 21.0; P < .05 was considered to indicate statistical significance. RESULTS Palatine tonsilloliths were the most common calcifications in our study. Calcifications were most frequent in the sixth decade of life. Women had larger calcifications than men. There was a relationship between the sizes measured by CBCT and PR for tonsilloliths. In PR, Region 2 had significantly more calcifications compared with the other regions. The C2 vertebral level was the most common region for tonsilloliths based on CBCT. CONCLUSIONS Tonsilloliths have a high prevalence. The regular peripheral type had a higher risk of being a tonsillolith in PR. The peripheral/internal characteristics and the dimensions of calcifications between the two imaging modalities were in harmony. The location of calcification in PR and CBCT was important to distinguish the type of calcification.
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Affiliation(s)
- Esra Yeşilova
- Oral and Maxillofacial Radiology Department, Faculty of Dentistry, Eskişehir Osmangazi University, Eskişehir, Turkey
| | - İbrahim Şevki Bayrakdar
- Oral and Maxillofacial Radiology Department, Faculty of Dentistry, Eskişehir Osmangazi University, Eskişehir, Turkey
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Shamim T, Renjini PS. Stensen's duct sialolith in a geriatric patient. Korean J Pain 2018; 31:221-222. [PMID: 30013737 PMCID: PMC6037810 DOI: 10.3344/kjp.2018.31.3.221] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Revised: 11/22/2017] [Accepted: 11/29/2017] [Indexed: 11/18/2022] Open
Affiliation(s)
- Thorakkal Shamim
- Department of Dentistry, Government Taluk Head Quarters Hospital, Malappuram, India
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Ahiaku S, Lord T. Sialoliths and megaliths. Br Dent J 2015. [PMID: 26205916 DOI: 10.1038/sj.bdj.2015.584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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