scholarly journals Sialolithiasis in the Duct of Submandibular Gland: A Case Report in Patient with Epidermolysis Bullosa

2013 ◽  
Vol 14 (2) ◽  
pp. 339-344 ◽  
Author(s):  
Bruno Tochetto Primo ◽  
Delson João da Costa ◽  
Diego José Stringhini ◽  
Nelson Luis Barbosa Rebellato ◽  
Rafaela Scariot de Moraes ◽  
...  

ABSTRACT Aim To describe the options of treatment to remove a sialolith associated with the submandibular gland duct in a patient with epidermolysis bullosa (EB). Background Treatment of patients with EB is very complex and involves a multidisciplinary team. This condition is characterized by a spectrum of blistering and mechanical fragility of the skin. One main feature of this disease is the esophageal constriction and possible constriction to the submandibular duct. This alteration may induce the formation of calculi in this duct, which is called sialolith. Once the sialolith obliterates the trajectory of the duct this will lead to a sialolithiasis. The calculi have to be removed. Case report Seventeen years old female patient with dystrophic EB developed a sialolith at the submandibular duct. She has a limited mouth opening and her tongue was collapsed with mouth floor. The first choice of treatment was the lithotripsy, once this procedure is less invasive and a surgical remove could worse the collapsed tongue. She was with acute pain and with a great augmentation in the submandibular area. Once the patient was debilitated and has difficult to swallow she invariably needed to be hospitalized in order to receive intravenous medication. During the hospitalization the sialolith could be seen through the opening of the duct and the calculi was removed with local anesthesia. Conclusion The treatment of sialolithiasis usually does not present major challenges, nevertheless if the sialolithiasis is associated with EB, the treatment became an extremely challenge. In this particular case the option of treatment was the less invasive. Clinical relevance This case report has an enormous clinical relevance once there is no protocol to treat patients with EB and buccal diseases. How to cite this article Primo BT, da Costa DJ, Stringhini DJ, Rebellato NLB, de Moraes RS, Müller PR, Carneiro VL. Sialolithiasis in the Duct of Submandibular Gland: A Case Report in Patient with Epidermolysis Bullosa. J Contemp Dent Pract 2013;14(2):339-344.

Author(s):  
GLÓRIA MARIA DE FRANÇA ◽  
LUIZ ARTHUR BARBOSA DA SILVA ◽  
MILENA BORTOLOTTO FELIPPE SILVA ◽  
LUIZ ROBERTO COUTINHO MANHÃES JÚNIOR ◽  
JOSÉ DE AMORIM LISBOA NETO ◽  
...  

2019 ◽  
Vol 82 (2) ◽  
pp. 205-207
Author(s):  
Wentao Zhang ◽  
Kai Wang ◽  
Fan Yang

Author(s):  
Anita Anita ◽  
Saryu Sain ◽  
Amrita Gupta

Introduction: The submandibular gland is located bilaterally in the submandibular triangle. The main submandibular duct or Wharton’s duct, runs with lingual nerve to open in the sublingual papilla at the side of frenulum of the tongue. The aim of this study was to demonstrate the unusual variations of accessory submandibular duct in comparison with main submandibular salivary gland duct. Material & Methods: Nineteen cadavers were dissected to study the submandibular salivary duct. Results: 15.7% incidence of variations were observed. We found that one submandibular region was having unusual path of accessory duct, it emerged from superficial part of the gland and crossed the superficial surface of mylohyoid muscle and bifurcated into two branches. These bifurcated branches of duct pierced the mylohyoid muscle to pass between mylohyoid and hyoglossus muscle. One branch of bifurcated accessory duct opened through papilla in the floor of the mouth behind the lower incisor tooth and second branch of the bifurcated duct anastomosed with the main duct (Wharton’s duct) to open in sublingual papilla. Wharton’s duct of this side followed its normal path to open in the sublingual papilla. Two specimens of submandibular region was observed with duplication of submandibular duct in each submandibular gland. One was main duct and second was accessory duct. Both ducts emerged separately from the deep part of submandibular gland and ended independently into sublingual papilla. Conclusion: Reporting of these variations are important for diagnostic imaging, anatomical teaching and to help surgeons while operating in this region.


2009 ◽  
Vol 54 (1) ◽  
pp. 61-65 ◽  
Author(s):  
TC Huang ◽  
JB Dalton ◽  
FN Monsour ◽  
NW Savage

2016 ◽  
Vol 82 (1) ◽  
pp. 112-115 ◽  
Author(s):  
Thiago de Paula Oliveira ◽  
Isaac Nilton Fernandes Oliveira ◽  
Eduardo Carvalho Paes Pinheiro ◽  
Renata Caroline Ferreira Gomes ◽  
Pietro Mainenti

2013 ◽  
Vol 60 (1) ◽  
pp. 42-47
Author(s):  
Smita Kamtane ◽  
Monali Ghodke

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.


2015 ◽  
Vol 156 (40) ◽  
pp. 1625-1627
Author(s):  
Andrea Furka ◽  
Imre Szabó ◽  
Erika Hevesi ◽  
Zsolt Adamecz ◽  
Éva Pintye

Surgery has been considered the first choice of treatment in planocellular skin cancers. However, adjuvant radiotherapy is often required in R1 resection or in lymph node positivity. Inoperable cases are also treated with ionizing radiation with palliative purpose. The authors present a case report of a successful treatment of an 87-year-old diabetic patient with a T4N1M0 stage periauricular destructive tumour treated with 3D conformal adaptive radiotherapy. Complete remission occurred although the initial treatment aim was only palliation. Orv. Hetil., 2015, 156(40), 1625–1627.


2017 ◽  
Vol 5 (2) ◽  
pp. 74-76
Author(s):  
Santosh Kandel ◽  
Bhuwan Raj Pandey ◽  
Prakash Poudel

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.


Author(s):  
João Batista da SILVEIRA JUNIOR ◽  
Joaquim Barbosa MATIAS NETO ◽  
Ildeu ANDRADE JUNIOR ◽  
Herminia Marques CAPISTRANO

ABSTRACT Sialolithiasis is a pathological process that affects the major salivary glands. It consists of calcifications that obstruct the parenchyma of the gland and / or the lumen of the ducts. The 37 years old female patient, VBB, leucoderma, attended the stomatology service with a complaint of swelling in the floor of mouth, which she noticed 10 years ago. The clinical and radiographic exams indicated a diagnosis of multiple sialolithiasis in the left submandibular gland duct. Surgical intervention was indicated in this case. Amongst all sialolithiasis cases, 80% affect the submandibular glands. Of these, 70% are isolated sialoliths. Only 5% of cases present more than 3 calcifications. This study aims to report the diagnosis and treatment of a rare case of multiple sialoliths located in the duct of the submandibular gland, which were surgically removed via intraoral access.


Author(s):  
Mandira Sarma ◽  
Soumick Ranjan Sahoo

<p>Sialolithiasis is the most common disease of the salivary glands. Majority of sialoliths occur in the submandibular gland. Considering the literature, most stones are less than 5 mm, and stones more than 10 mm are quite unusual. We present a case report of a 37 year old male who had a stone of 11×8 mm near the orifice of the right submandibular duct which was removed via transoral incision.</p>


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