Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A Giant Sialolith in a Wharton's Duct: Report of Two Cases

악하선관에 발생한 거대 타석증의 치험 2례

  • Na, Hye-Jung (Department of Oral and Maxillofacial Surgery, Sanggye-Paik Hospital, Inje University) ;
  • Yoon, Kyu-Ho (Department of Oral and Maxillofacial Surgery, Sanggye-Paik Hospital, Inje University) ;
  • Cheong, Jeong-Kwon (Department of Oral and Maxillofacial Surgery, Sanggye-Paik Hospital, Inje University) ;
  • Bae, Jung-Ho (Department of Oral and Maxillofacial Surgery, Sanggye-Paik Hospital, Inje University) ;
  • Kim, Hae-Lin (Department of Oral and Maxillofacial Surgery, Sanggye-Paik Hospital, Inje University) ;
  • Jo, Kyu-Hong (Department of Oral and Maxillofacial Surgery, Sanggye-Paik Hospital, Inje University) ;
  • Shin, Jae-Myung (Department of Oral and Maxillofacial Surgery, Ilsan-Paik Hospital, Inje University) ;
  • Baik, Jee-Seon (Department of Oral and Maxillofacial Surgery, Ilsan-Paik Hospital, Inje University)
  • 나혜정 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 윤규호 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 정정권 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 배정호 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 김해린 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 조규홍 (인제대학교 상계백병원 구강악안면외과학교실) ;
  • 신재명 (인제대학교 일산백병원 구강악안면외과학교실) ;
  • 백지선 (인제대학교 일산백병원 구강악안면외과학교실)
  • Received : 2010.02.26
  • Accepted : 2010.04.20
  • Published : 2010.07.30
Download PDF
⟨ Previous Next ⟩

Abstract

Sialolithiasis is the most commom disease of salivary gland. The main symptoms are pain and swelling of the involved gland during eating. It can occur at any age but patients in their third to fifth decade present most cases. Males are more frequently affected than females. Most sialoliths are located within the duct system of the submandibular gland. Submandibular sialoliths close to the hilum of the gland tend to become large and ovoid shape, whereas sialoliths in the duct tend to be elongated. Commonly, sialoliths measure from 1 mm to less than 10 mm, and larger than 15 mm are considered rare. In one case we have removed a giant sialolith which was located in a wharton's duct and in the other case we have removed multiple sialolith including a giant sialolith which were also located in a Wharton's duct. We report these 2 cases with literature reviews.

Keywords

References

  1. Kim MC, Min SY, Kin JY et al : A giant sialolith in a Wharton's duct : a case report. J Kor Assoc Maxillofac Plast Reconstru Surg 27 : 93, 2005.
  2. Yildirim A : A case of giant sialolith of the submandibular salivary gland. Ear Nose Throat J 83 : 360, 2004.
  3. Park HS, Yoon HJ, Choi WW : multiple sialolithiasis : repoir of two cases. J Kor Assoc Maxillofac Plast Reconstru Surg 14 : 169, 1992.
  4. Baurmash HD : Submandibular salivary stones : current management modalities. J Oral Maxillofac Surg 62 : 369, 2004. https://doi.org/10.1016/j.joms.2003.05.011
  5. Choi JH, Kim SS, Oh NS et al : Multiple sialolithiasis in sublingual gland : report of a case. J Kor Assoc Maxillofac Plast Reconstru Surg 21 : 205, 1999.
  6. Ledesma-Montes C, Garces-Ortiz M, Salcido-Garcia JF et al : Giant sialolith : case report and review of the literature. J Oral Maxillofac Surg 65 : 128, 2007. https://doi.org/10.1016/j.joms.2005.10.053
  7. Bodner L : Giant salivary gland calculi : diagnostic imaging and surgical management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94 : 320, 2002. https://doi.org/10.1067/moe.2002.123863
  8. Siddiqui SJ : Sialolithiasis : an unusually large submandibular salivary stone. Br Dent J 193 : 89, 2002. https://doi.org/10.1038/sj.bdj.4801491
  9. Sutay S, Erdag TK, Ikiz AO et al : Large submandibular gland calculus with perforation of the floor of the mouth. Otolaryngol Head Neck Surg 128 : 587, 2003. https://doi.org/10.1016/S0194-5998(02)23280-5
  10. KAOMS : Textbook of Oral & Maxillofacial Surgery, 2nd ed. Dental & Medical publishing, 2005, p.475.
  11. Chan EK, Patel ND : Giant calculus of the submandibular salivary duct. Ear Nose Throat J 85 : 306, 2006.
  12. Kim MS, Ryu SJ : A case of the sialolithiasis on the submandibular gland. J Kor Assoc Maxillofac Plast Reconstru Surg 22 : 458, 2000.
  13. Park JS, Sohn JH, Kim JK : Factors influencing intraoral removal of submandibular calculi. Otolaryngol Head Neck Surg 135 : 704, 2006. https://doi.org/10.1016/j.otohns.2006.07.013
  14. McGurk M, Makdissi J, Brown JE : Intra-oral removal of stones from the hilum of the submandibular gland : report of technique and morbidity. Int J Oral Maxillofac Surg 33 : 683, 2004. https://doi.org/10.1016/j.ijom.2004.01.024
  15. Capaccio P, Bottero A, Pompilio M et al : Conservative transoral removal of hilar submandibular salivary calculi. Laryngoscope 115 : 750, 2005. https://doi.org/10.1097/01.mlg.0000161348.15505.11
  16. Korean Academy of Oral Maxillo Facial Radiology: Oral & Maxillofacial Radiology, 3rd ed. Seoul, Narae publishing, 2001, p.531.