Akademik Veri Yönetim Sistemi
IADMFR, Brussels, Belçika, 5 - 08 Temmuz 2023, ss.1-2
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.