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Painless Giant Submandibular Gland Sialolith: A Case Report.
How Kit Thong1, Iylia Ajmal Othman2, Roszalina Ramli3
1Otolaryngology - Head and Neck Surgery, KPJ Seremban Specialist Hospital & KPJ Healthcare University College, Seremban, MYS.
Cureus
|December 20, 2021
Summary
Giant submandibular sialolithiasis, a rare condition involving salivary stones over 15mm, can present as a painless neck mass. This case highlights successful surgical management via submandibular gland excision.
Area of Science:
- Oral and Maxillofacial Surgery
- Otolaryngology
- Pathology
Background:
- Sialolithiasis, a common salivary gland disease, involves duct obstruction by calculi, often linked to bacterial infection.
- Submandibular sialolithiasis typically presents with painful swelling, fever, and purulent discharge.
Observation:
- Giant sialoliths (>15 mm) are rare, with this case involving a 25 mm submandibular calculus.
- The patient presented with a painless submandibular mass, atypical for symptomatic sialolithiasis.
Findings:
- A giant submandibular sialolith measuring 25 mm was diagnosed.
- Surgical management involved submandibular gland excision.
Implications:
- Giant sialolithiasis requires consideration in the differential diagnosis of neck masses.
- Submandibular gland excision is an effective treatment for large, obstructive salivary stones.
