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Multiple sialolithiasis in sublingual gland causing dysphagia
Hulya Eyigor1, Ustun Osma, Mustafa Deniz Yılmaz
1Department of ENT Head and Neck Surgery, Antalya Education and Research Hospital, Antalya, Turkey.
The American Journal of Case Reports
|April 10, 2013
Summary
This case report details an extremely rare instance of sublingual gland sialolithiasis, where a patient presented with 268 sialoliths causing significant dysphagia. This highlights the potential for extensive salivary gland stone disease.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Pathology
Background:
- Sialolithiasis commonly affects major salivary glands but is infrequent in the sublingual gland.
- Sublingual gland sialolithiasis can manifest as pain, swelling, and, in extensive cases, dysphagia.
Purpose of the Study:
- To report an exceptionally rare case of extensive sialolithiasis in the sublingual gland.
- To document the clinical presentation and pathological findings of a large sublingual gland stone burden.
Main Methods:
- Case presentation of a 67-year-old female patient.
- Detailed description of the diagnostic process, including pathological confirmation.
- Quantification of sialoliths and measurement of the largest stone.
Main Results:
- The patient had 268 sialoliths within the sublingual gland, forming a large mass.
- The largest sialolith measured approximately 4 mm in diameter.
- The condition led to significant dysphagia.
Conclusions:
- Multiple sublingual gland sialoliths are exceptionally rare and can cause severe symptoms like dysphagia and speech impairment.
- This case represents the largest reported number of sialoliths in a sublingual gland to date.
- Highlights the importance of considering sublingual gland involvement in complex sialolithiasis cases.
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