Ductal sialolithiasis in submandibular gland containing giant salivary calculi: report of two cases
DOI:
https://doi.org/10.34019/1982-8047.2021.v47.33322Keywords:
Salivary Gland Calculi, Salivary Duct Calculi, SialolithiasisAbstract
Introduction: The presence of calculi in Salivary Glands is considered a quite common phenomenon, however, some of these sialoliths could reach bigger sizes, and then be considered as giant calculus. Objective: The aim of the study was to report two cases of giant calculi in the submandibular salivary gland, also, to improve their analysis by means of their surface area measurement. Case Report: Two adult patients were diagnosed with signs and symptoms suggestive of sialolithiasis. Imaging exams were conducted, with the final diagnosis of Salivary Gland Calculi. Both calculi were surgically removed, under local anesthesia at the dentist’s office. The giant calculi were photographed, measured, and classified as giant calculi because both showed more than 15 mm in the highest axis, also, by heaving a significant surface area. Both cases resolved after surgery, with no history of recurrence. Conclusion: Giant sialoliths are uncommon. It is necessary to discuss this phenomenon aiming for a consensus among the scientific community regarding the classification of the salivary gland calculi. The two cases reported in this article exemplify the complimentary use of the calculation of the calculi surface area on clinical images, which should be considered as an adjuvant maneuver in the classification of salivary sialoliths.
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Copyright (c) 2021 Kathleen Jarmendia-Costa, Michel Calil Abrão Neto, Ana Paula Candido Candido dos Santos, Gustavo Santos Teixeira, Gustavo Davi Rabelo
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