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Extremely Large Submandibular Sialolith Removal - A Case Report
Justin Mathew1, Joseph John K Pothanikat1, R B Vinod Kumar1
1Department of Oral and Maxillofacial Surgery, The Malabar Dental College, Malappuram, Kerala, India.
The Rationale:
Sialoliths are calcified organic matter that form within the secretory system of the salivary glands. They rarely measure more than 1.5 cm. Giant sialoliths are rare and defined as a size of 3.5 cm or larger.
Patient Concerns:
Patient complained of the pain and swelling in the right submandibular area for two years with increase in size during meals.
Diagnosis:
Based on the clinical and radiological investigations.
Treatment:
Sialolith measuring 39 mm and weighing 7.02 g, was removed in a minimally invasive manner through transoral sialolithotomy using diode 810 µm LASER unit under local anaesthesia.
Outcomes:
Patient was relieved of the preoperative symptoms and was on follow-up for one year.
Take-Away Lessons:
Various newer treatment modalities are effective alternatives to conventional surgical treatment of sialoliths. However, transoral sialolithotomy remains the mainstay of management.
