Sialolithiasis' diagnosis and treatment plan: A case series

Sialolithiasis is a relatively uncommon alteration of the salivary gland characterized by the presence of calcified structures within the glandular parenchyma or its ductal system, causing swelling and pain.

Present a series of six cases of sialolithiasis in the submandibular and parotid glands, the diagnostic process, and the adopted treatment approach.

Five reported cases occurred in the submandibular gland, and only one in the parotid gland. Three patients presented with painful symptoms, increased volume, and purulent secretions, while the other three cases were asymptomatic. All sialoliths were diagnosed through radiographic exams. The treatment consisted of sialolith removal via surgical approach and/or salivary flow stimulation via local massage.

Sialolithiasis is diagnosed through clinical and imaging evaluation, and conservative treatment approaches preserve the integrity and function of the gland.