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Massive Submandibular Sialolith: Complete Radiographic Registration and Biochemical Analysis through X-Ray
Ademir Franco1, Mayara Jessica de Carvalho Mattos1, Francine Ferrari1
1Departamento de Estomatologia, Escola de Saúde e Biociências, Pontifícia Universidade Católica do Paraná, Imaculada Conceição 1155, Prado Velho, 80215-901 Curitiba, PR, Brazil.
Case Reports in Surgery
|September 27, 2014
Summary
Sialolithiasis, affecting millions annually, involves salivary stones. This case report details the surgical removal and analysis of a large sialolith, offering insights into its formation over eight years.
Area of Science:
- Dentistry
- Pathology
- Radiology
Background:
- Sialolithiasis is a common condition caused by salivary stones (sialoliths) in salivary glands and ducts.
- It affects 60 million people yearly, yet its exact cause remains unknown.
- Symptoms include pain and difficulty opening the mouth.
Purpose of the Study:
- To report a case of sialolithiasis with a large sialolith.
- To analyze the sialolith's composition using X-ray diffraction.
- To present radiographic evidence of sialolith formation over eight years.
Main Methods:
- Surgical removal of a 20 mm sialolith from a 47-year-old female patient.
- X-ray diffraction analysis of the removed sialolith.
- Review of 8-year radiographic records documenting sialolith formation.
Main Results:
- A 20 mm sialolith was successfully removed.
- X-ray diffraction provided detailed analysis of the sialolith's mineral composition.
- Radiographic data illustrated the gradual formation process of the sialolith over eight years.
Conclusions:
- This case highlights the surgical management of large sialoliths.
- X-ray diffraction aids in understanding sialolith composition.
- The presented radiographic timeline offers insights into the etiology of sialolithiasis.

