Parotid sialolithiasis in a two-year-old boy

Area of Science:

• Otolaryngology
• Pediatric Dentistry
• Oral and Maxillofacial Surgery

Background:

• Sialolithiasis involves salivary gland duct obstruction by stones, causing swelling and infection.
• It accounts for 30% of salivary gland diseases but is rare in pediatric patients.
• Symptoms include painful cheek swelling, palpable stones, and purulent discharge from Stensen's duct.

Purpose of the Study:

• To report a rare case of pediatric sialolithiasis in a 2-year-old male.
• To review the pathogenesis, diagnosis, and treatment of sialolithiasis.
• To highlight diagnostic and management strategies for childhood sialolithiasis.

Main Methods:

• Case presentation of a 2-year-old male with right cheek swelling and Stensen's duct abnormalities.
• Diagnostic confirmation using computerized tomography (CT) of the neck.
• Treatment involved intravenous antibiotics and intraoral sialolithotomy.

Main Results:

• Successful diagnosis and treatment of sialolithiasis in a pediatric patient.
• CT imaging effectively identified salivary stones and ductal dilation.
• Combined antibiotic therapy and surgical intervention resolved the condition.

Conclusions:

• Sialolithiasis, though rare, can occur in young children.
• Prompt diagnosis via imaging and appropriate treatment are crucial for pediatric cases.
• Intraoral sialolithotomy is an effective treatment for pediatric sialolithiasis.