Uncommon case of multiple sialolites at submandibular gland duct
DOI:
https://doi.org/10.21270/archi.v10i6.5004Keywords:
Salivary Gland Calculi, Submandibular Gland, Salivary DuctsAbstract
Sialolithiasis represents an obstruction of the salivary gland by the formation of a calcified structure (sialolith) within its ducts, or less frequently, within the gland itself, which results in decreased salivary flow leading to inflammation and, occasionally, infection. The literature reports that about 80 to 90% of them affect the submandibular gland. Sialolithiasis can occur at any age, being more common in adults over 40, with a preference for the male gender. The presence of multiple sialoliths is considered low, especially in the submandibular gland. The purpose of this work is to report a case of an 18-year-old patient who presented useful as well as painful episodes. On palpation of the submandibular duct path, an increase in volume was observed, and the tactile sensation was hardened on the lingual floor on the same side. To confirm the clinical findings, a computed tomography scan was requested, in which four circular hyperdense masses were observed. The multiple stones were removed through surgical access under local anesthesia. The patient showed an improvement in the initial condition and had no complications. Thus, the surgical treatment proved to be effective for the treatment of sialolithiasis.
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