Large Multiple Sialoliths of Bilateral Submandibular Glands: A Case Report

  • Mohsen Barzegar Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  • Adele Pouyafard Department of Oral and Maxillofacial Diseases, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  • Hamidreza Ajami Department of Oral and Maxillofacial Surgery, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran.
  • Sahar Pakzad Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Keywords: Sialoliths, Submandibular gland, Salivary glands, Sialadenitis.

Abstract

Sialolithiasis is a most common disease of salivary glands most commonly occurs in submandibular gland system. Simultaneous sialolithiasis in more than one salivary gland and multiple stone formations have been reported in only 5% and 3% of cases, respectively. In this article, a rare case of bilateral presence of various stones in different sizes and shapes in the submandibular glands and its duct in a 68-year-old man has been investigated.  Stones on left side were removed through an intraoral incision and on the right side; the entire salivary gland was removed with extraoral access.

Conclusion: After precise diagnosis of sialolithiasis through various diagnostic modalities, treatment plan should be tailored based on existing condition and the decision was made to remove a salivary gland with extraoral access on one side and remove the stones by intraoral incision on the other side while preserving the salivary gland.

Published
2022-04-25
Section
Articles