scholarly journals Asymptomatic Large Sialolith of Wharton's Duct

2015 ◽  
Vol 4 (2) ◽  
pp. 143-145
Author(s):  
Somayyeh Azimi ◽  
Jamileh Taheri Begom ◽  
Zahra Elmi Rankohi
Keyword(s):  
Salivary Gland ◽  
Antibiotic Therapy ◽  
Submandibular Gland ◽  
Salivary Secretion ◽  
Transoral Approach ◽  
Cross Sectional ◽  
Wharton’S Duct ◽  
Salivary Gland Stones

ABSTRACT Aim Giant salivary gland stones (more than 15 mm) considered to be rare and a few of well-documented studies report it. In this literature, we report an asymptomatic, 15 mm sialolith in a 47-year-old man with whole procedure of treatment. Materials and methods A patient without symptom of Wharton's duct sialolith was detected and treated. Occlusal cross-sectional of mandibule film was used to guide of surgery, transoral approach was made to dissection of stone. Results Fifteen millimeters yellow sialolith was obtained, antibiotic therapy done for 1 week was after surgery and 2-month follow-up was done. Conclusion Sialoliths are responsible for the obstruction of salivary secretion. More than 80 to 90% of sialoliths, occurs in the submandibular glandular parenchyma or its duct. There is man predilection in parotid or submandibular sialolith. Giant salivary gland stones (more than 15 mm) considered to be rare and a few of well-documented studies report it. Removal of sialolith with intraloral approach is treatment of choice in the anterior duct submandibular gland. How to cite this article Begom JT, Azimi S, Rankohi ZE. Asymptomatic Large Sialolith of Wharton's Duct. Int J Experiment Dent Sci 2015;4(2):143-145.

scholarly journals Unusually Large Submandibular Sialoliths: Report of Two Cases

2009 ◽  
Vol 03 (02) ◽  
pp. 135-139 ◽  
Author(s):  
Meryem Toraman Alkurt ◽  
Ilkay Peker
Keyword(s):  
Salivary Gland ◽  
Salivary Glands ◽  
Submandibular Gland ◽  
Histopathological Examination ◽  
Floor Of The Mouth ◽  
Common Diseases ◽  
Wharton’S Duct

ABSTRACTSialoliths are the most common diseases of the salivary glands. They may occur in any of the salivary gland ducts but are most common in Wharton’s duct and the submandibular gland. This report presents clinical and radiographical signs of two unusually large sialoliths. There were painless swellings on the floor of the mouth in both cases. Radiographical examination revealed large irregular radioopaque mass superimposed right canine and premolar areas. After the lesions were removed, histopathological examination was performed and lesions were diagnosed as sialoliths. (Eur J Dent 2009;3:135-139)

Sialolithiasis in a residual Wharton's duct after excision of a submandibular salivary gland

2006 ◽  
Vol 121 (2) ◽  
pp. 182-185 ◽  
Author(s):  
M R Markiewicz ◽  
J E Margarone 3rd ◽  
J L Tapia ◽  
A Aguirre
Keyword(s):  
Salivary Gland ◽  
Submandibular Gland ◽  
Acute Infection ◽  
Surgical Techniques ◽  
Surgical Approaches ◽  
Submandibular Salivary Gland ◽  
Major Salivary Gland ◽  
Continuous Growth ◽  
Wharton’S Duct ◽  
Submandibular Gland Excision

Treatment of salivary stones includes both surgical and non-surgical techniques. Surgical approaches range from excision of the sialolith, for those near the duct orifice, to removal of the affected salivary gland and its associated duct, for stones near the hilum of the gland. We present a case of two sialoliths triggering an acute infection in a residual Wharton's duct, 12 years after the removal of the associated submandibular gland. Excision of the sialoliths and treatment of the infected duct via sialodochoplasty was successfully performed in this patient. If the Wharton's duct is not removed with the associated submandibular gland, the potential for infection and continuous growth of dormant calcifications exists. We also address the aetiology, pathogenesis, and management of patients with sialolithiasis in the absence of a major salivary gland.

scholarly journals Unusual Variations in Path of Accessory Submandibular Salivary Gland Duct in Comparison with Main Submandibular Salivary Gland Duct

2018 ◽  
Vol 26 (2) ◽  
Author(s):  
Anita Anita ◽  
Saryu Sain ◽  
Amrita Gupta
Keyword(s):  
Salivary Gland ◽  
Submandibular Gland ◽  
Submandibular Salivary Gland ◽  
Main Duct ◽  
Mylohyoid Muscle ◽  
Lower Incisor ◽  
Submandibular Region ◽  
Submandibular Duct ◽  
Gland Duct ◽  
Wharton’S Duct

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.

Clinical Evaluation of Extracorporeal Shock Wave Lithotripsy for Salivary Stones

1996 ◽  
Vol 105 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Tomokazu Yoshizaki ◽  
Yumjxo Maruyama ◽  
Rinichiro Wakasa ◽  
Isamu Motoi ◽  
Mitsuru Furukawa
Keyword(s):  
Shock Wave ◽  
Salivary Gland ◽  
Parotid Gland ◽  
Submandibular Gland ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Clinical Symptoms ◽  
Submandibular Duct ◽  
Extracorporeal Shock Wave ◽  
Salivary Gland Stones

The treatment of sialolithiasis is discussed in this report. Generally, stones within the distal salivary duct are easily removed by transoral ductotomy, although proximal stones are usually treated by excision of the salivary gland and its duct. Since 1980, extracorporeal shock wave lithotripsy (ESWL) has been in clinical use for the treatment of renal and gallbladder stones. We used this technique as a treatment for sialolithiasis. We undertook ESWL on 14 submandibular gland stone patients, 1 parotid gland stone patient, and 3 submandibular duct stone patients. In 10 of 14 submandibular gland stone patients and 1 parotid gland stone patient, clinical symptoms such as pain and swelling disappeared without excision of the affected salivary gland. Stones larger than 10 mm seem to have a tendency to form Steinstrassen. Although computed tomography findings correlate with success in breaking up gallstones, they did not predict success for salivary stones. We conclude that sialolithiasis is treated successfully without adverse effects by ESWL in selected patients.

Effects of Phenylephrine on Transplanted Submandibular Gland

2006 ◽  
Vol 85 (12) ◽  
pp. 1106-1111 ◽  
Author(s):  
B. Xiang ◽  
Y. Zhang ◽  
Y.M. Li ◽  
K. Zhang ◽  
Y.Y. Zhang ◽  
...  
Keyword(s):  
Submandibular Gland ◽  
Apical Membrane ◽  
Rabbit Model ◽  
Acinar Cells ◽  
Salivary Secretion ◽  
Secretory Function ◽  
Aquaporin 5 ◽  
Receptor Signal ◽  
Wharton’S Duct ◽  
Structural Injury

Autotransplantation of the submandibular gland is a potential treatment for severe kerato-conjunctivitis sicca. However, one of the major barriers to this procedure is that secretions from the transplanted gland decrease shortly after the operation, which may lead to obstruction of Wharton’s duct, or even to transplantation failure. Using a rabbit model, we investigated whether phenylephrine could improve the secretion from the transplanted gland. We found that phenylephrine treatment significantly reversed the decrease in salivary secretion after transplantation, enhanced the expressions of α1A-, α1B-, and α1D-adrenoceptor mRNA, and ameliorated atrophy of acinar cells. Furthermore, phenylephrine also induced translocation of aquaporin-5 from the cytoplasm to the apical membrane, and increased the levels of phospho-ERK1/2, ERK1/2, phospho-PKCζ, and PKCζ in the transplanted gland. These results indicate that phenylephrine treatment moderates structural injury and improves secretory function in the transplanted submandibular gland through promoting α1-adrenoceptor expression and post-receptor signal transduction.

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.

Laryngeal Cysts in Adults: Simplifying Classification and Management

2017 ◽  
Vol 157 (6) ◽  
pp. 928-939 ◽  
Author(s):  
Richard Heyes ◽  
David G. Lott
Keyword(s):  
Literature Search ◽  
Rapid Onset ◽  
Definitive Diagnosis ◽  
Transoral Approach ◽  
New Classification ◽  
Cross Sectional ◽  
Primary Literature ◽  
Cross Sectional Imaging ◽  
Laryngeal Cyst

Objective Laryngeal cysts may occur at any mucosa-lined location within the larynx and account for 5% to 10% of nonmalignant laryngeal lesions. A number of proposed classifications for laryngeal cysts exist; however, no previously published classification aims to guide management. This review analyzes contemporary laryngeal cyst management and proposes a framework for the terminology and management of cystic lesions in the larynx. Data Sources PubMed/Medline. Review Methods A primary literature search of the entire Medline database was performed for all titles of publications pertaining to laryngeal cysts and reviewed for relevance. Full manuscripts were reviewed per the relevance of their titles and abstracts, and selection into this review was according to their clinical and scientific relevance. Conclusion Laryngeal cysts have been associated with rapid-onset epiglottitis, dyspnea, stridor, and death; therefore, they should not be considered of little significance. Symptoms are varied and nonspecific. Laryngoscopy is the primary initial diagnostic tool. Cross-sectional imaging may be required, and future use of endolaryngeal ultrasound and optical coherence tomography may revolutionize practice. Where possible, cysts should be completely excised, and there is growing evidence that a transoral approach is superior to transcervical excision for nearly all cysts. Histology provides definitive diagnosis, and oncocytic cysts require close follow-up. Implications for Practice A new classification system is proposed that increases clarity in terminology, with the aim of better preparing surgeons and authors for future advances in the understanding and management of laryngeal cysts.

scholarly journals Intravascular Papillary Endothelial Hyperplasia (Masson’s Tumor) of the Submandibular Gland: A Case Report

2021 ◽  
pp. 014556132110167
Author(s):  
Chin-Fang Cho ◽  
Yu-Hsi Liu ◽  
Jung-Chia Lin
Keyword(s):  
Salivary Gland ◽  
Case Report ◽  
Head And Neck ◽  
Submandibular Gland ◽  
Vascular Lesion ◽  
Intravascular Papillary Endothelial Hyperplasia ◽  
Initial Impression ◽  
Papillary Endothelial Hyperplasia ◽  
The Right

Intravascular papillary endothelial hyperplasia (IPEH), a rare benign endothelial vascular lesion related to thrombosis, generally develops in fingers, trunk, head, and neck. Nevertheless, it has been rarely reported in the salivary gland. In this article, we report a case of IPEH of the right submandibular gland in a 37-year-old female whose initial impression was sialadenitis secondary to sialolithiasis. To date, our case may be the first well-documented report of IPEH in the submandibular gland. The patient underwent ablation of the submandibular gland, and no evidence of recurrence was found during follow-up.

Salivary gland scintigraphy in patients suffering from severe kerato conjunctivitis sicca

2015 ◽  
Vol 54 (04) ◽  
pp. 189-195 ◽  
Author(s):  
L. Gerdan ◽  
P. Sieg ◽  
S. G. Hakim ◽  
A. Brüggemann ◽  
M. Gebhard ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Submandibular Gland ◽  
Clinical Course ◽  
Keratoconjunctivitis Sicca ◽  
Temporal Fossa ◽  
Submandibular Glands ◽  
Glandula Submandibularis ◽  
Salivary Gland Scintigraphy ◽  
Positive Results

SummaryLow tear production or elevated tear evaporation can lead to severe keratoconjunctivitis sicca. In patients with this disease, the transfer of an autologous submandibular gland into the temporal fossa is currently the most common surgical lacrimal gland substituting procedure. Aim: We compared the pre- and postoperative viability of transferred submandibular glands. Patients, methods: Altogether 16 submandibular glands had been transferred in 12 patients. The graft's viability was evaluated before and 0.5–1, 1–6 and 8–12 months after transplantation by dynamic salivary gland scintigraphies after application of 40–50 MBq 99mTc-pertechnetate. Quantitative analysis was performed by calculation and comparison of the glandula submandibularis-to-background-ratio (SBR) and the transplant-tobackground-ratio (TBR). The scintigraphic results were correlated with the clinical follow-up. Results: All grafts remained viable during clinical follow-up. Salivary gland scintigraphy yielded 15 true positive results and 1 falsenegative result. Comparison of presurgical SBR and postsurgical TBR showed good correlation with the clinical course. In 10 patients at least one transplant-reduction was necessary due to excessive epiphora occurring averagely 8 months after transplantation. Conclusion: Our results show that salivary gland scintigraphy very exactly reflects the morphological and biochemical postsurgical changes in a transferred submandibular gland. Thus, it is a reliable tool to exactly and objectively evaluate the viability of the grafts in the postsurgical course.

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