SURGICAL MANAGEMENT OF A LARGE RARE SUBMANDIBULAR SIALOLITHIASIS - A CASE REPORT AND REVIEW OF LITERATURE
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Keywords
radiopaque lesion, rare submandibular duct sialolithiasis, intra oral approach, sialolithiasis, submandibular gland
Abstract
The most prevalent pathology affecting the salivary glands is sialolithiasis. Because of the submandibular gland's long, tortuous, tiny orifices, increased mineral content, alkaline pH, high saliva viscosity and gravity-defying drainage, sialolithiasis of the gland is most frequent.The preferred course of treatment for minor, accessible stones is conservative care, such as draining the tube while receiving palliative care. Surgical therapy should be chosen for sialoliths that are big and numerous. In this report, we describe a patient who had three different-sized sialoliths in the right submandibular duct. The patient was treated with an intraoral surgical approach involving lingual frenum drainage under local anaesthesia. Follow-up was done on a regular basis and no surgical complications occurred before, during, or after the procedure Categories: Dentistry, Pain Management
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References
1. Rzymska-Grala I, Stopa Z, Grala B, et al.: Salivary gland calculi - contemporary methods of imaging . Pol J Radiol. 2010, 75:25-37. 2. Arifa SP, Christopher PJ, Kumar S, Kengasubbiah S, Shenoy V: Sialolithiasis of the Submandibular Gland: Report of Cases. Cureus. 2019, 6:1110. 10.7759/cureus.4180 3. Jadaun G, Pillai D, Ragji T, et al.: Sialolithiasis: An Unusually Large Submandibular Salivary Stone . Cureus. 2023, 15:41859-10. 10.7759/cureus.41859 4. Hammett JT, Walker C: Sialolithiasis. StatPearls Publishing, 2023. 5. Lucas T: Duong, Thomas Kakiche, François Ferré, Laurent Nawrocki, Ayman Bouattour.Management of anterior submandibular sialolithiasis.J Oral Med Oral Surg. 2019251010512018039. 10.1051/mbcb/2018039 6. Adhikari R, Soni A: Submandibular Sialadenitis and Sialadenosis . StatPearls. 2023, 7. Aoun G, Maksoud C: Sialolith of Unusual Size and Shape in the Anterior Segment of the Submandibular Duct. Cureus. 2022, 13:10. 10.7759/cureus.24114 8. Abd El-latif Ibrahim El-Rasheedy., Alaa Mohamed Abdel Rasoul Abdalla., Shaimaa Abdel-hamid Hassanein., et al.: The role of ultrasound in evaluating salivary glands swellings . Egypt J Otolaryngol. 2021, 37:101-10. 10.1186/s43163-021-00165-y 9. Vu M, Lopez Ortiz C, Sosa M, Peplinski B, Ganti L: Acute Submandibular Sialadenitis. Cureus. 202224, 14:10. 10.7759/cureus.24435 10. Pachisia S, Mandal G, Sahu S, Ghosh S: Submandibular sialolithiasis: A series of three case reports with review of literature. Clin Pract. 2019, 9:1119. 10.4081/cp.2019.1119 11. S Kraaij., K H Karagozoglu., T Forouzanfar., et al.: Salivary stones: symptoms, aetiology, biochemical composition and treatment. Br Dent J. 2014, 217:23. 10.1038/sj.bdj.2014.1084. 12. Sobrino Guijarro, Beatriz & Cascarini, Luke & Lingam, Ravi: Advances in imaging of obstructed salivary glands can improve diagnostic outcomes. Oral and maxillofacial surgery. 2012, 17:10.1007/s10006-012- 0327-8 13. Abdel-Wahed N, Amer ME, Abo-Taleb NS: Assessment of the role of cone beam computed sialography in diagnosing salivary gland lesions. Imaging Sci Dent. 2013, 43:17-23. 10.5624/isd.2013.43.1.17 14. Badash I, Raskin J, Pei M, Soldatova L, Rassekh C: Contemporary Review of Submandibular Gland Sialolithiasis and Surgical Management Options. Cureus. 2022, 14:10.7759/cureus.28147 15. Zajkowski P, Ochal-Choińska A: Standards for the assessment of salivary glands - an update . J Ultrason. 2016, 16:175-90. 10.15557/JoU.2016.0019 16. Power SP, Moloney F, Twomey M, James K, O'Connor OJ, Maher MM: Computed tomography and patient risk: Facts, perceptions and uncertainties. World J Radiol. 2016, 8:902-915. 10.4329/wjr.v8.i12.902 17. Ashby K, Adams BN, Shetty M: Appropriate Magnetic Resonance Imaging Ordering. StatPearls Publishing, 2023. 18. Ugga L, Ravanelli M, Pallottino AA, Farina D, Maroldi R: Diagnostic work-up in obstructive and inflammatory salivary gland disorders. Acta Otorhinolaryngol Ital. 2017, 37:83-93. 10.14639/0392-100X- 1597 19. Li J, Xu XY, Lu ZW, Guan QB, Chen JF: Sialendoscopy-assisted intraoral incision approach for the treatment of posterior Wharton's duct stones: our experience and outcomes. Wideochir Inne Tech Maloinwazyjne. 2021, 16:249-255. 10.5114/wiitm.2020.94430 20. Singh PP, Gupta V: Sialendoscopy: introduction, indications and technique . Indian J Otolaryngol Head Neck Surg. 2014, 66:74-8. 10.1007/s12070-013-0675-1 21. Park JH, Kim JW, Lee YM, Oh CW, Chang HS, Lee SW: Long-term Study of Sialodochoplasty for Preventing Submandibular Sialolithiasis Recurrence. Clin Exp Otorhinolaryngol. 2012, 5:34-8. 10.3342/ceo.2012 22. Gupta A, Rattan D, Gupta R: Giant sialoliths of submandibular gland duct: Report of two cases with unusual shape. Contemp Clin Dent. 2013, 4:78-80. 10.4103/0976-237X.111599 23. Pousya, Vinisha & Shetty, Urvashi & Shetty, Pushparaja. (2023). Sialolith with Sialadenitis: A Case Study and a Proposal of a Diagnostic Algorithm. Journal of Health and Allied Sciences NU. 10.1055/s-0043-1768590. 24. Zieglgänsberger W: Substance P and pain chronicity . Cell Tissue Res. 2019, 375:227-241. 10.1007/s00441- 018-2922-y 25. Sacerdote P, Levrini L: Peripheral mechanisms of dental pain: the role of substance P. Mediators Inflamm . 2012. 10.1155/2012/951920 26. Tharani Kumar S, Ashok Prasanna R, Kirubanandan JR, Elaveyini U, Prasanna Devi S, Balasubramaniam M: Postoperative Healing after Surgical Removal of Mandibular Third Molar: A Comparative Study between Two Proteolytic Enzymes. J Pharm Bioallied Sci. 2020, 12:289-294. 10.4103/jpbs.JPBS_87_20 27. Sidhu G, Preuss CV: Triamcinolone. StatPearls Publishing. 2023. https://www.ncbi.nlm.nih.gov/books/NBK544309/. 28. Manjunath Rai: Richi Burman,Giant Submandibular Sialolith of Remarkable Size in the Comma Area of Wharton's Duct. A Case Report,Journal of Oral and Maxillofacial Surgery2009. 67:1329-1332. 10.1016/j.joms.2008.11.014 29. Purcell YM, Kavanagh RG, Cahalane AM, Carroll AG, Khoo SG, Killeen RP: The Diagnostic Accuracy of Contrast-Enhanced CT of the Neck for the Investigation of Sialolithiasis. AJNR Am J Neuroradiol. 2017, 38:2161-2166. 10.3174/ajnr.A5353 30. Tassoker, Melek & Ozcan, Sevgi: Two Cases of Submandibular Sialolithiasis Detected by Cone Beam Computed Tomography. IOSR Journal of Dental and Medical Sciences. 2016, 15:124-129. 10.9790/0853- 150810124129 31. Goncalves M, Mantsopoulos K: Schapher M, Iro H, Koch M. Ultrasound in the diagnosis of parotid duct obstruction not caused by sialolithiasis: diagnostic value in reference to direct visualization with sialendoscopy. Dentomaxillofac Radiol. 2021, 50:20200261. 10.1259/dmfr.20200261 32. Pniak T, Štrympl P, Staníková L, Zeleník K, Matoušek P, Komínek P: Sialoendoscopy, sialography, and ultrasound: a comparison of diagnostic methods. Open Med (Wars. 2016, 11:461-464. 10.1515/med-2016- 0081 33. Iro H, Benzel W. Zenk J, Födra C, Heinritz HH. Minimal-invasive Behandlung der Sialolithiasis mittels. 1993, 41:311-6. 34. Nahlieli O, Shacham R, Zagury A, Bar T, Yoffe B: The ductal stretching technique: an endoscopic-assisted technique for removal of submandibular stones. Laryngoscope. 2007, 117:1031-5. 10.1097/MLG.0b013e31804f8163 35. Yu-Ting Sun, Kuo-Sheng Lee, Shih-Han Hung: Chin-Hui Su,Sialendoscopy With Holmium:YAG Laser Treatment for Multiple Large Sialolithiases of the Wharton Duct. A Case Report and Literature Review,Journal of Oral and Maxillofacial Surgery2014. 72:2491-96. 10.1016/j.joms.2014.06.448
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