Salivary calculus excision in the submandibular gland: case report
DOI:
https://doi.org/10.33448/rsd-v10i11.19766Keywords:
Salivary calculation; Sialolithiasis; Salivary gland.Abstract
Salivary calculi or sialoliths are calcified bodies that develop inside the salivary canal, through the accumulation of calcium salts around the ductal lumen, affecting the submandibular gland, although they also occur in the sublingual and parotid glands. These disorders are manifested in small sizes and can, in some cases, reach large proportions. Anatomically, the tortuous and ascending canal of the submandibular gland (Wharton's duct) and the quality of its thick mucoid secretion are intrinsic factors for the appearance of salivary calculus. These calculations can appear in any age group, being more common in young and middle-aged adults. The aim of this paper is to discuss the clinical case of exposed, symptomatic salivary calculus affecting the right side of Wharton's duct in a 56-year-old patient treated with simple surgical removal. Sialolithiasis can appear asymptomatic, but it can also show episodes of decreased salivary flow, pain and swelling of the affected gland with episodes of infection. The severity can vary depending on the degree of obstruction and the negative pressure produced inside the gland. Treatment may be conservative or surgical, taking into account the affected gland and the size of the stone. It was concluded that the most effective conduct in the management of the lesion is through surgical removal through intraoral access and these disorders are primary through clinical examination, and knowledge about the pathologies that involve the oral cavity is extremely important.
References
Bodner, L. (2002). Giant salivary gland calculi: Diagnostic imaging and surgical management. Oral Surg Oral Med Oral Pathol, St. Louis, 94(2), 320-323.
Castro, C. C. L. P., Rodrigues, E. D. R., Vasconcelos, B. C. E., & Moreira, T. C. A. (2021). Abordagem intrabucal para exérese de sialolito na glândula sublingual: relato de caso. Arch Health Invest, 10(3), 427-430.
Cobos, M. R., Muñoz, Z. C., & Diaz A. (2009). Sialolitosenconductos y glándulassalivales: Revisión de literatura. Avances en Odontoestomatologia, 25(6), 311-317.
Folchini, S., Stolz A. B. (2016). Sialolitos na glândula submandibular: relato de caso. Odontol Clín9Cient, 15(1), 67-71.
Hong, K.H., Yang Y.S. (2003). Sialolithiasis in the sublingual gland. J Laryngol Otol, 117(11),905-7.
Jaeger, F., Andrade, R., Alvarenga, R. L., Galizes, B. F., & Amaral, M. B. F. (2013). Sialolito gigante no ducto da glândula submandibular. Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial. 54(1), 33-36.
Landgraf, H., Assis, A. F., Klüppel, L. E., Oliveira, C. F., & Gabrielli, M. A. C. (2005). Extenso sialolito no ducto da glândula submandibular: relato de caso. Revista de Cirurgia e Traumatologia Buco-maxilo-facial Camaragibe, 6(2), 29-34.
Lindeblatt, R. C., Santos, J. B., Alves, D. R., Lourenço, S. Q. C., & Dias, E. P. (2007). Sialoadenite esclerosante crônica (tumor de kuttner): relato de caso clínico. J Bras Patol Med Lab, 43(5), 381-384.
Lustmann, J., Regev E., & Melamed Y. (1990). Sialolithiasis. A survey on 245 patients and a review of the literature. Int J Oral Maxillofac Surg, 19(3), 135-38.
Mandel, L., & Alfi D. (2012). Diagnostic imaging for submandibular duct atresia: literature review and case report. J Oral Maxillofac Surg. 70(12), 2819-22.
Neto, A. E. (2002). Sialolito na região de uma glândula parótida – relato de um caso clínico. BCI, 9 (35): 210-4.
Neville, B. W., Damm, D. D., Allen, C. M., & Bouquot, J. E. (2009). Patologia Oral e Maxilofacial, (3ª ed.). Rio de Janeiro: Elsevier.
Pereira, A.S., Shitsuka, D. M., Parreira, F. J. & Shitsuka, R. (2018). Metodologia da pesquisa científica. [e-book].Santa Maria. Ed.UAB/NTE/UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Pereira, R. V. S., Silva, J. de Ângelis A., Souza, J. R. dos S., Honorato, T. A. M., Silva, R. F. da, Andrade, C. E. de S., Campos, G. J. de L., & Lucas Neto, A. (2020). Surgical treatment of submandibular salivary gland sialolith: case report. Research, Society and Development, 9(9), e829998072.
Rodrigues, G. H. C., Carvalho, V. J. G., Alves, F. A., & Domaneschi, C. (2017). Giant submandibular sialolith conservatively treated. Autopsy Case Rep, 7(1):9-11.
Siddiqui, S. J. (2002). Sialolithiasis: an unusually large submandibular salivary stone. Br Dent J, 193(2),89-91.
Silva, C. B., Cabral, L. N., Pinheiro, T. N., & Vasconcellos II, A. J. A. (2021). Sialolitíase em região sublingual direita: relato de caso. Arch Health Invest, 10(3), 368-372.
Silveira, R. L., Machado, R. A., Borges, H. O. I., & Oliveira, R. B. (2005). Múltiplos sialolitos em glândula submandibular direita: relato de caso. Revista da Faculdade de Odontologia de Lins, 17(1), 39-42.
Souza, D. M. B., Silva, J. S. da, Nogueira, R. V. B., Vasconcellos, R. J. de H., & Brêda Júnior, M. A. (2021). Caso atípico de múltiplos sialólitos no ducto da glândula submandibular. archives of health investigation, 10(6), 913-6.
Starling, C. R., Silva, D. T., & Falcão A. F. P. (2012). Sialolitíase em glândula sublingual: relato de caso clínico. R Ci med biol, 11(3), 346-50.
Torres, L. H. S., Santos, M. S., Diniz, J. A., Uchôa, C. P., Silva, J. A. A., Pereira Filho, V. A., & Oliveira, E. D. (2019). Arch Health Invest, 8(8), 421-4.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Gustavo Paiva Custódio; Carlos Henrique Silveira de Castro; Cesar Feitoza Bassi Costa; Ana Carolina Silva Mendes; Gabriel Oliveira Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
