Submandibular gland stones, a clinical review. Al Chalabi H(1), Walshe P, Curran A. This study was based on a retrospective review of patients presenting with submandibular sialadenitis over a 5-year period. 26 patients presented with a history of sialadenitis, with a palpable stone in the floor of the mouth and were considered candidates
The purpose of this study is to highlight the role of per-oral extraction of submandibular calculi in the management of salivary sialadenitis. This study was based on a retrospective review of
Interventions Transoral removal of the stones under local anesthesia and preservation of the submandibular gland. Main Outcome Measures Complete removal of the stones, complications, and recurrence of the stones.
Stones composed of calcium salts often obstruct salivary glands, causing pain, swelling, and sometimes infection. Diagnosis is made clinically or with CT, ultrasonography, or sialography. Treatment involves stone expression with saliva stimulants, manual manipulation, a probe, or surgery.
Abstract. – Sialolithiasis of the salivary glands is a relatively rare occurrence. It is the most common cause of acute and chronic infections. Sialoliths occurs in the submandibular gland in 80% of the cases and its etiology is associated with some anatomical factors proper of it.
Sialolithiasis is easy to diagnose on the basis of its clinical features. Occlusal radiographs are extremely useful in showing radiopaque stones unless otherwise there are radiolucent stones. Sialography is useful in patients showing signs of sialadenitis related to the radiolucent stones or deep submandibular/parotid stones.
As many as 80% of all salivary stones occur in the submandibular gland or duct (Fig. 14.5), 10% occur in the parotid, 7% in the sublingual gland and the remainder occur in the minor salivary glands. Most stones occur in the submandibular glands because their secretions contain mucus and the viscosity is higher.
Sialolithiasis, or salivary gland stones, are collections of minerals that create small stones in the salivary ducts in the mouth. They most commonly occur in the ducts on the bottom of the mouth, but they can also appear in the glands under the tongue and in the cheeks. It is possible to have several stones.
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plasms in the submandibular gland, 50% of minor neo plasms in the salivary glands, and 90% of neoplasms in the sublingual glands.1 Salivary duct stones (sialolithiasis) and stenoses Sialolithiasis and duct stenoses usually present as diffuse CLINICAL REVIEW
Submandibular stones near the hilum of the gland may require gland excision. Stones in the parotid duct are more difficult to manage and may require parotidectomy.
Sialolithiasis most commonly occur in the submandibular gland, due to the anatomy of this duct being long and its flow of saliva against gravity. The type of salivary secretions from the submandibular gland are also more mucoid in nature as opposed to the more serous secretions from the parotid gland.