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Multiple bilateral submandibular gland sialolithiasis.

V S Sunder¹, C Chakravarthy, R Mikkilinine

¹Department of Prosthodontics, Hyderabad Karnataka Education Society's S. Nijlingappa Institute of Dental Sciences and Research, Gulbarga, Karnataka, India.

Nigerian Journal of Clinical Practice

|December 12, 2013

Summary

This summary is machine-generated.

Sialolithiasis, a common cause of salivary gland obstruction, involves painful swelling often worsened by eating. This case report details the successful intraoral removal of three submandibular sialoliths from both glands, a rare occurrence.

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Area of Science:

Dentistry
Oral and Maxillofacial Surgery

Background:

Sialolithiasis is the primary cause of salivary gland obstruction, leading to recurrent, painful gland swelling, particularly during meals.
While stones can affect any salivary gland, they are most prevalent in the submandibular gland and its ductal system.

Observation:

Simultaneous sialolithiasis in multiple salivary glands is infrequent, affecting less than 3% of patients.
The majority of cases (70-80%) involve solitary stones, with only about 5% presenting with three or more stones.

Findings:

This case report describes a rare instance of simultaneous sialolithiasis affecting both submandibular glands, with three stones identified.
All three submandibular sialoliths were successfully removed using an intraoral surgical approach.

Implications:

The intraoral approach is a viable and effective method for managing complex cases of multiple submandibular sialoliths.
This case highlights the importance of considering multiple stones even in rare presentations of sialolithiasis.