Large Sialolith in the Submandibular Gland with Radiological Findings :Case Report and Literature Review


Şendişçi R., Stevanovıc Sancar B., Günen Yılmaz S.

IADMFR, Brussels, Belgium, 5 - 08 July 2023, pp.1-2

  • Publication Type: Conference Paper / Summary Text
  • City: Brussels
  • Country: Belgium
  • Page Numbers: pp.1-2
  • Akdeniz University Affiliated: Yes

Abstract

Aim: Sialolithiasis is one of the most common calcifications in the maxillofacial region. The

size of the sialolith can vary from less than 1 mm to several cm in greatest diameter. Stones

larger than 15 mm are classified as giant sialoliths and are found in most submandibular

glands or ducts. In this presentation, we review the clinical and radiological features of

sialoliths and explain them with an unusually large case of sialolite in the submandibular

canal.

Material and methods: A 68-year-old female patient was admitted to our clinic with the

complaint of painful swelling in the floor of the mouth. In the panoramic radiograph taken

from the patient, a radiopaque focus was observed in the left angulus region. Cone-beam

computed tomography (CBCT) imaging taken for further examination revealed a mixed,

radiopaque image in the left submandibular salivary gland. In addition, in the ultrasonography

evaluation performed for soft tissue examination, it was determined that the sialolite was in

the left submandibular salivary gland duct and with dimensions of approximately 1.91x 0.97x

4.3 cm..

Results: The patient, who was diagnosed with sialolite in the submandibular gland based on

anamnesis, clinical and radiographic findings, was referred to the oral, dental and

maxillofacial surgery department for treatment.

Conclusion: It is important to make the differential diagnosis of salivary gland stones from

other calcified structures. Today, advanced imaging methods are preferred in order to

determine the localization and size of sialoliths in the submandibular salivary gland.