scholarly journals Preservation of Lingual Nerve In Excision Of Bilateral Submandibular Sialolith Via Intraoral Approach: A Case Report

2018 ◽  
Vol 2 (3) ◽  
pp. 161 ◽  
Author(s):  
Mohd Shaiful Nizam Mamat ◽  
Rohaida Ibrahim ◽  
Baharudin Abdullah
Keyword(s):  
Salivary Gland ◽  
Case Report ◽  
Submandibular Gland ◽  
Health Sciences ◽  
Lingual Nerve ◽  
Common Disease ◽  
Intraoral Approach ◽  
Marginal Mandibular Nerve ◽  
Oral Approach ◽  
Gland Function

Salivary gland stone (sialolithiasis) is most common disease of the salivary gland and mainly occur at the submandibular gland. Traditionally, sialolithiasis is removed via an extra-oral approach but the major disadvantages of this treatment include a risk of injuring the lingul nerve, marginal mandibular nerve and scar formation. In this case report, we revealed an even less invasive intraoral surgical technique for the removal of sialolith that does not affect the submandibular gland function with the preservation of lingual nerve. This report describes a patient who had unusual bilateral submandibular gland sialolith that posteriorly located,which successfully removed via intraoral approach without any postoperative complications.International Journal of Human and Health Sciences Vol. 02 No. 03 July’18. Page : 161-163

Surgical results of the intraoral removal of the submandibular gland

2008 ◽  
Vol 139 (4) ◽  
pp. 530-534 ◽  
Author(s):  
Ki Hwan Hong ◽  
Yun Su Yang
Keyword(s):  
Salivary Gland ◽  
Submandibular Gland ◽  
Chart Review ◽  
Postoperative Bleeding ◽  
Retrospective Chart Review ◽  
Late Complications ◽  
Surrounding Tissue ◽  
Transcervical Approach ◽  
Intraoral Approach ◽  
Marginal Mandibular Nerve

Objectives Most patients with benign submandibular disorders have been treated surgically without difficulty via the transcervical approach. An alternative to the standard transcervical approach has been reported such as an intraoral approach. Subjects and Methods Retrospective chart review of the 77 patients with benign submandibular disorders. All patients underwent an excision of the submandibular gland via intraoral approach. Results Early postoperative complications developed in 74.0% of the temporary lingual sensory paresis followed by 70.1% of temporary limitation of tongue movement. However, these complications soon resolved in all patients spontaneously. Two cases of postoperative bleeding and 1 case of abscess formation were developed. Whereas late complications developed in 4 cases of residual salivary gland and abnormal sense of mouth floor and 1 case of gustatory sweating (Frey's) syndrome. Conclusion The major advantages of this approach are no external scar, no injury to the marginal mandibular nerve. The disadvantage is a more difficult dissection to transcervical approach before proper expert, especially in the severe adhesion of salivary gland to surrounding tissue.

scholarly journals Sialolithiasis: An unusually large asymptomatic submandibular salivary stone

2013 ◽  
Vol 60 (1) ◽  
pp. 42-47
Author(s):  
Smita Kamtane ◽  
Monali Ghodke
Keyword(s):  
Salivary Gland ◽  
Case Report ◽  
Submandibular Gland ◽  
Asymptomatic Patient ◽  
Treatment Modalities ◽  
Common Disease ◽  
Chronic Infections ◽  
Common Cause ◽  
Submandibular Duct ◽  
Salivary Gland Calculi

Salivary gland calculi account for the most common disease of salivary glands. The majority of sialoliths occur in submandibular gland or its duct and they are a common cause of acute and chronic infections. This case report describes an asymptomatic patient presenting with a large submandibular duct sialolith, the subsequent non surgical management of the patient along with etiology, diagnosis and various treatment modalities available for the treatment of salivary gland calculi depending on their site and size.

Salivary gland diseases

2018 ◽  
Author(s):  
Max Robinson ◽  
Keith Hunter ◽  
Michael Pemberton ◽  
Philip Sloan
Keyword(s):  
Salivary Gland ◽  
Salivary Glands ◽  
Submandibular Gland ◽  
Neck Region ◽  
Normal Function ◽  
Minor Salivary Glands ◽  
Flow Rates ◽  
Endocrine Disturbances ◽  
Systemic Factors ◽  
Gland Function

The salivary glands consist of three paired major glands—parotid, sub­mandibular, and sublingual—and the countless minor salivary glands found in almost every part of the oral cavity, except the gingiva and anterior regions of the hard palate. The secretion of saliva is essential for the normal function and health of the mouth, and disorders of salivary gland function predispose to oral disease. Functional disorders in salivary secretion may be associated with primary salivary gland disease but in other cases are a consequence of systemic factors, such as medi­cations, endocrine disturbances, and neurological disease, which are discussed in Chapter 10. Developmental anomalies of the salivary glands are rare. Aplasia of one or more major glands and atresia of one or more major salivary gland ducts have been reported. Congenital aplasia of the parotid gland may be associated with other facial abnormalities, e.g. ectodermal dysplasia, mandibulofacial dysostosis, and hemifacial microsomia. Heterotopic salivary tissue has been reported from a variety of sites in the head and neck region, the most frequent being its inclusion at the angle, or within the body, of the mandible, called a Stafne bone cavity. It is usually an incidental radiological finding and appears as a round or oval, well-demarcated radiolucency between the premolar region and angle of the jaw, and is typically located beneath the inferior dental canal. The radiographic appearances are due to a saucer-shaped depression or concavity of varying depth on the lingual aspect of the mandible, which contains salivary tissue in continuity with the submandibular gland. Accessory parotid tissue within the cheek or masseter muscle is rela­tively common and is subject to the same diseases that may affect the main gland. Age changes can be detected in both major and minor salivary glands. Reduction in the weights of submandibular and parotid glands has been reported with increasing age, associated in the submandibular gland with an age-dependent reduction in flow rates. By contrast, sev­eral studies have demonstrated that there is no significant reduction in parotid flow rates in the elderly.

Impact of submandibular gland excision on salivary gland function in head and neck cancer patients

Oral Oncology ◽  
2010 ◽  
Vol 46 (5) ◽  
pp. 349-354 ◽  
Author(s):  
G.C. Jaguar ◽  
E.N.P. Lima ◽  
L.P. Kowalski ◽  
A.C. Pellizon ◽  
A.L. Carvalho ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Salivary Gland ◽  
Head And Neck ◽  
Cancer Patients ◽  
Submandibular Gland ◽  
Neck Cancer ◽  
Salivary Gland Function ◽  
Gland Function ◽  
Submandibular Gland Excision

scholarly journals Etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibulaEtiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis

2021 ◽  
Vol 32 (3) ◽  
pp. 136
Author(s):  
Nyoman Ayu Anggayanti ◽  
Endang Sjamsudin ◽  
Melita Sylvyana
Keyword(s):  
Case Report ◽  
Salivary Glands ◽  
Submandibular Gland ◽  
Good Condition ◽  
Mandibular Gland ◽  
Radiographic Examination ◽  
Common Disease ◽  
Parotid Glands ◽  
Treatment Standard ◽  
The Right

Pendahuluan: Sialolithiasis adalah penyakit umum kelenjar saliva. Gejalanya termasuk pembengkakan kelenjar yang terlibat, terutama selama makan, dan nyeri tekan, yang mungkin mereda tetapi dapat kambuh kembali. Sialolith terjadi terutama di kelenjar submandibula (80-90%) dan pada tingkat yang lebih rendah di kelenjar parotid (5-20%). Sialolith bisa tunggal atau jamak. Multipel sialolith di kelenjar submandibula jarang terjadi. Tujuh puluh dari delapan puluh persen kasus memiliki sialolith tunggal, hanya sekitar 5% pasien yang memiliki tiga atau lebih sialolith. Faktor etiopatogenesis terkait dengan pembentukan sialolith adalah obstruksi, penurunan laju aliran saliva, dehidrasi, infeksi kelenjar saliva, dan terganggunya kelarutan kristaloid. Tujuan penulisan laporan kasus ini untuk menjelaskan etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibula. Laporan kasus: Seorang wanita 24 tahun datang dengan pembengkakkan dan nyeri pada submandibula kanan. Radiografi panoramik menunjukkan massa radiopak terdefinisi dengan baik dalam submandibula kanan. Interpretasi ultrasonografi menunjukkan massa tak homogen hypoechoic dengan kalsifikasi ganda. Pengangkatan kelenjar submandibula dilakukan dengan pendekatan ekstraoral. Laporan kasus ini menunjukkan Gambaran sebanyak sembilan sialolith di kelenjar submandibula, yang dihilangkan dengan pendekatan ekstraoral. Simpulan: Etiopatogenesis dari pembentukan multipel sialolithiasis pada duktus kelenjar, yaitu faktor mekanis, inflamasi, kimiawi, dan infeksi. Diperkirakan bahwa alkalin serta saliva kental yang mengandung banyak sel mukus, memiliki persentase kalsium fosfat lebih tinggi seperti pada kelenjar saliva submandibula yang mendukung pembentukan sialolith. Pengangkatan kelenjar submandibula beserta sialolith dilakukan sebagai standar baku perawatan dan dapat menghindari kekambuhan. Pasien kontrol kembali satu minggu pasca operasi dengan kondisi baik dan dijadwalkan untuk pemeriksaan radiografis ulang enam bulan kemudian untuk memastikan tidak terjadinya pembentukan sialolith baru di saluran kelenjar saliva.Kata kunci: Multipel, sialolithiasis, kelenjar submandibula. ABSTRACTIntroduction: Sialolithiasis is a common disease of the salivary glands. Symptoms include the glands inflammation, especially during eating, and tenderness, which may subside but may recur. Sialoliths occur mainly in the submandibular glands (80-90%) and to a lesser extent in the parotid glands (5-20%). Sialolith can be singular or plural. Multiple sialoliths in the submandibular gland rarely occur. Seventy out of eighty per cent of cases have a single sialolith. Only about 5% of patients have three or more sialoliths. The etiopathogenetic factors associated with sialolith formation are obstruction, decreasing salivary flow rate, dehydration, salivary gland infection, and impaired crystalloid solubility. The purpose of this case report was to describe the etiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis. Case report: A 24-year-old woman presented with inflammation and pain in the right submandibular. Panoramic radiograph shows a well-defined radiopaque mass in the right submandibular. Ultrasound interpretation revealed a hypoechoic homogeneous mass with multiple calcifications. Removal of the submandibular gland was carried out with an extraoral approach. This case report showed the appearance of as many as nine sialoliths in the sub-mandibular gland, removed by an extraoral approach. Conclusion: Etiopathogenesis of the formation of multiple sialolithiasis in the glandular duct are mechanical, inflammatory, chemical, and infectious factors. It is thought that alkaline and thick saliva, which contains many mucus cells, has a higher percentage of calcium phosphate than in the submandibular salivary glands, which support the formation of sialoliths. Submandibular gland removal along with the sialoliths is performed as the treatment standard, which can avoid recurrence. The control visit is carried out one week postoperatively in good condition, and the patient is scheduled for another radiographic examination six months after to ensure that no new sialoliths occurred in the salivary gland.Keywords: Multiple, sialolithiasis, submandibular gland.

Solitary plexiform neurofibroma of the submandibular salivary gland

1996 ◽  
Vol 110 (12) ◽  
pp. 1173-1175 ◽  
Author(s):  
Takeshi Tsutsumi ◽  
Tsuneyuki Oku ◽  
Atsushi Komatsuzaki
Keyword(s):  
Salivary Gland ◽  
Case Report ◽  
Submandibular Gland ◽  
Plexiform Neurofibroma ◽  
Submandibular Salivary Gland ◽  
Von Recklinghausen’S Disease ◽  
Major Salivary Gland ◽  
Sublingual Gland ◽  
First Case ◽  
Solitary Form

AbstractNeurofibroma affecting the major salivary gland is uncommon. This tumour is particularly rare in the submandibular and sublingual gland.Here, a case of solitary plexiform neurofibroma of the submandibular gland without any other manifestations of von Recklinghausen's disease is presented. It is probably the first case report of this tumour invading the submandibular gland in a solitary form.

scholarly journals Giant submandibular gland stone largest in India: Management and review of literature: A rare case report

2018 ◽  
Vol VOLUME 6 (VOLUME 6 NUMBER 2 DECEMBER 2018) ◽  
pp. 33-37
Author(s):  
Rajat Jain
Keyword(s):  
Salivary Gland ◽  
Case Report ◽  
Submandibular Gland ◽  
Rare Case ◽  
Preoperative Imaging ◽  
Review Of Literature ◽  
Transcervical Approach ◽  
Planning Approach ◽  
Rare Case Report ◽  
Male Patients

Sialoliths are calcerous concretions seen in the salivary gland parenchyma or its duct, accounting more than 50% of salivary gland diseases. Giant sialoliths measuring 35 mm are rare, with only 19 cases published in literature. Ninety‑five percent of the giant sialoliths reported were in the submandibular gland, all occurring in male patients. Preoperative imaging help in defining the size,location of lesion and helps in planning approach. We are reporting a rare case of giant submandibular gland sialolith in a 52 year male patient measuring 40 mm (probably largest in india), which was removed through transcervical approach under general anesthesia.

Adenoid cystic carcinoma of the sublingual salivary gland in a 16-year-old female – report of a case and review of the literature

1997 ◽  
Vol 111 (5) ◽  
pp. 485-488 ◽  
Author(s):  
M. R. McFall ◽  
G. H. Irvine ◽  
J. W. Eveson
Keyword(s):  
Salivary Gland ◽  
Case Report ◽  
Adenoid Cystic Carcinoma ◽  
Submandibular Gland ◽  
Review Of The Literature ◽  
Present Case Report ◽  
Adenoid Cystic ◽  
Wharton’S Duct

AbstractTumours of the sublingual salivary gland are exceptionally rare. The present case report describes an adenoid cystic carcinoma of the sublingual salivary gland occurring in a 16-year-old girl, in itself an uncommon event. In addition, an interesting feature of the presentation was obstruction of the ipsilateral submandibular gland due to involvement of Wharton's duct.

scholarly journals Submandibular gland sialolith of unusual size

2017 ◽  
Vol 5 (2) ◽  
pp. 74-76
Author(s):  
Santosh Kandel ◽  
Bhuwan Raj Pandey ◽  
Prakash Poudel
Keyword(s):  
Case Report ◽  
Salivary Glands ◽  
Submandibular Gland ◽  
Clinical Presentation ◽  
Common Disease ◽  
Chronic Infections ◽  
Common Cause ◽  
Gland Duct

Introduction: Sialolithiasis is the most common disease of the salivary glands. Majority of sialoliths occur in the submandibular gland and is a common cause of acute and chronic infections of the gland. The size varies from one mm to one cm. Size greater than 15 mm are considered unusual or giant sialolith. Case report: We present a case of an unusual size sialolith of 16 mm in submandibular gland duct which was removed via transoral incision. The aim of presenting this case report is to understand etio-pathogenesis, clinical presentation and management of submandibular sialolithiasis. Conclusion:  Submandicular sialolithiasis of more than 15 mm in size though rare are not uncommon. They can be managed intraorally if situated at or near the orifice.

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