The major salivary glands (paired on each side). 1. Parotid gland, 2. Submandibular gland, 3. Sublingual gland. | Public Domain, https://commons.wikimedia.org/w/index.php?curid=1074079
Aetiology
Dehydration
Trauma
Clinical features
Recurrent pre/periprandial pain
Swelling of affected gland
Submandibular gland:
A 26-year-old male patient reported with swelling below the tongue, which was associated with pain for 1 week: (A) Patient profile; (B) intraoral swelling in submandibular region; (C) mandibular occlusal radiograph showing sialolith in the submandibular region; (D) sialolithotomy and suturing of the defect. | Pachisia, S., Mandal, G., Sahu, S., & Ghosh, S. (2019). Submandibular sialolithiasis: A series of three case reports with review of literature. Clinics and Practice, 9(1), 1119. https://doi.org/10.4081/cp.2019.1119
A 75-year-old man visited us with a chief complaint of swelling and pain during swallowing on the right side of the face: (A) Patient profile showing no facial asymmetry; (B) sialolith protruding out of the duct orifice; (C) mandibular occlusal radiograph showing sialolith in the second molar region; (D) excised sialolith. | Pachisia, S., Mandal, G., Sahu, S., & Ghosh, S. (2019). Submandibular sialolithiasis: A series of three case reports with review of literature. Clinics and Practice, 9(1), 1119. https://doi.org/10.4081/cp.2019.1119
A 40-year-old male patient reported to our institute with a chief complaint of recurrent episodes of pain, difficulty in swallowing and swelling in the neck for the last 2-3 years. The last episode occurred 1-2 months prior to the visit and the pain has been persistent since: (A) Patient’s profile; (B) swelling in floor of the mouth; (C) mandibular occlusal radiograph showing sialolith in the submandibular region; (D) sialolithotomy and suturing of the defect. | Pachisia, S., Mandal, G., Sahu, S., & Ghosh, S. (2019). Submandibular sialolithiasis: A series of three case reports with review of literature. Clinics and Practice, 9(1), 1119. https://doi.org/10.4081/cp.2019.1119
Parotid gland:
A stone-like mass palpated on the right buccal mucosa. | Moghe, S., Pillai, A., Thomas, S., & Nair, P. P. (2012). Parotid sialolithiasis. BMJ Case Reports, 2012, bcr2012007480. https://doi.org/10.1136/bcr-2012-007480
Posterioanterior mandible showing radiopaque object in the right ramal region. | Moghe, S., Pillai, A., Thomas, S., & Nair, P. P. (2012). Parotid sialolithiasis. BMJ Case Reports, 2012, bcr2012007480. https://doi.org/10.1136/bcr-2012-007480
Salivary stone of approximately 5–6 mm in length after retrieval. | Moghe, S., Pillai, A., Thomas, S., & Nair, P. P. (2012). Parotid sialolithiasis. BMJ Case Reports, 2012, bcr2012007480. https://doi.org/10.1136/bcr-2012-007480
Closure with 3–0 black silk. | Moghe, S., Pillai, A., Thomas, S., & Nair, P. P. (2012). Parotid sialolithiasis. BMJ Case Reports, 2012, bcr2012007480. https://doi.org/10.1136/bcr-2012-007480
Complication
Acute bacterial sialadenitis or glandular abscesses:
Prolonged blockage can produce a persistent ductal dilatation with a swelling that does not subside, and could lead to the complete degeneration of the parenchyma, becoming a hot spot where secondary infections may occur.
Differential diagnosis
Sialolithiasis
Sialadenitis (inflammatory or infectious)
Neoplasm
Management
Conservative management:
NSAIDs
Gland massage
Warm compress
Sour food/candies (promotes salivary flow)
Minimally invasive procedures:
Interventional sialography
Lithotripsy
Surgical management:
Sialectomy: Cannulation of duct to remove the stone
