Giant sialolith of the submandibular gland: case report

Authors

Keywords:

Salivary duct calculi; Submandibular gland; Diagnostic imaging.

Abstract

Introduction: Sialolithiasis is a benign condition characterized by the formation of stones in the ductal system or in the parenchyma of the salivary glands. When these stones reach diameters greater than 15 mm, they are called giant sialoliths. In these dimensions, they can obstruct salivary flow and/or predispose to the occurrence of inflammatory and infectious processes. Objective: To report a case of giant sialolith in the submandibular gland and highlight the importance of imaging tests in the choice of treatment. Case report: Male patient, 72 years old, asymptomatic, diagnosed with giant sialolith in the submandibular gland, measuring 16 x 0.9 x 13 mm, removed by intraoral access, without complications and/or postoperative complications. Conclusion: Computed tomography is an excellent imaging test for locating and measuring the extent of sialolith, which is essential for scaling surgical techniques.

Downloads

Download data is not yet available.

Author Biographies

Júlia Macedo Silva, Federal University of Juiz de Fora

Undergraduate student at the Faculty of Dentistry of the Federal University of Juiz de Fora, located in Juiz de Fora, Minas Gerais, in which she obtains extracurricular experiences such as participation as a scholarship holder in the Work Education Program for Health PET-Health/Equity; member of the Academic League of Hospital Dentistry - LAOHosp; monitoria, in which she was a scholarship holder monitor in the discipline Maxillofacial Pathology I and in the discipline Dental Materials; and volunteer monitor of the discipline Applied to Dentistry II; extension project, in which she was a volunteer, called "Biochemistry of Saliva: Prevention Strategies for Oral Health (SalivAção)".

 

 

Breno Nogueira Silva , Federal University of Juiz de Fora

Graduated in Dentistry from the Federal University of Juiz de Fora (2005). Residency in Oral and Maxillofacial Surgery and Traumatology at the Faculty of Dentistry of Araraquara - FOAr-UNESP / Ministry of Health (Jan 2010-Jan2013). AO Fellowship at the University Hospital of Basel, Basel-Switzerland (2014). Master's Degree in Dental Clinic with an area of ​​concentration in Buccomaxillofacial Surgery and Traumatology at the Faculty of Piracicaba - UNICAMP (2016). Doctorate in Dental Clinic with a concentration in Buco-Maxillofacial Surgery and Traumatology, Faculty of Piracicaba - UNICAMP (2017). He is currently an Adjunct Professor of Oral and Maxillofacial Surgery and Anesthesiology at the Faculty of Dentistry, Federal University of Juiz de Fora.

 

Matheus Furtado de Carvalho , Federal University of Juiz de Fora

He has a degree in Dentistry from the Federal University of Juiz de Fora (2003-2008), specialization in Oral and Maxillofacial Surgery and Traumatology from the Pontifical Catholic University of Minas Gerais (2008-2011), a master's degree in Dental Clinic from the Federal University of Juiz de Fora (2009-2011) and a doctorate in Dental Sciences with a concentration area in Oral-Maxillofacial Surgery and Traumatology from the University of São Paulo (2013-2015), performing Internationalization activity - Sandwich Doctorate, in the Department of Maxillofacial Surgery of Griffith University (Australia) by the Coordination of Personnel Improvement at Higher Education (CAPES). He is a full member of the Brazilian College of Oral and Maxillofacial Surgery and Traumatology and Adjunct Professor at the Federal University of Juiz de Fora (UFJF) - Juiz de Fora campus, working in the disciplines of Anesthesiology in Dentistry and Maxillofacial Surgery I, II, III and IV. He has a qualification in Hospital Dentistry by the Regional Council of Dentistry (2016), and interest in the areas of minor oral surgery, Stomatology, Oral-Maxillo-Facial Traumatology and Orthognathic Surgery.

 

References

Badash I, Raskin J, Pei M, Soldatova L, Rassekh C. Contemporary Review of Submandibular Gland Sialolithiasis and Surgical Management Options. Cureus. 2022; 14(8):e28147. DOI: 10.7759/cureus.28147.

Arunkumar KV, Garg N, Kumar V. Oversized submandibular gland sialolith: a report of two cases. J Maxillofac Oral Surg. 2015; 14(Suppl 1):116-9. DOI: 10.1007/s12663-012-0361-y.

Bertin H, Bonnet R, Le Thuaut A, Huon JF, Corre P, Frampas E et al. A comparative study of three-dimensional cone-beam CT sialography and MR sialography for the detection of non-tumorous salivary pathologies. BMC Oral Health. 2023; 23(1):463. DOI: 10.1186/s12903-023-03159-9.

Koch M, Mantsopoulos K, Müller S, Sievert M, Iro H. Treatment of Sialolithiasis: What Has Changed? An Update of the Treatment Algorithms and a Review of the Literature. Clin Med. 2021; 11(1):231. DOI: 10.3390/jcm11010231.

Wu CC, Hung SH, Lin HC, Lee CZ, Lee HC, Chung SD. Sialolithiasis is associated with nephrolithiasis: a case-control study. Acta Otolaryngol. 2016;136:497–500. DOI: 10.3109/00016489.2015.1129068.

Mortazavi H, Tizno A, Azadi A, Samani R, Firoozi N, Hazrati P. What is the impact of previous cholelithiasis on sialolithiasis: A systematic review and meta-analysis. Saudi Dent J. 2024; 36(1):44–51. DOI: 10.1016/j.sdentj.2023.08.010.

Ashindoitiang JA, Nwagbara VIC, Ugbem T, Odoks RK, Solomon UA, Akpan SO, Ogamba N, Asuquo ME. Huge sialolith of the submandibular gland: a case report and review of literature. J Int Med Res. 2023; 51(1):3000605221148443. DOI: 10.1177/03000605221148443.

Teymoortash A, Wollstein AC, Lippert BM, Peldszus R, Werner JA. Bacteria and pathogenesis of human salivary calculus. Acta Otolaryngol. 2002; 122(2):210-4. DOI: 10.1080/00016480252814252.

Grandi R, Capaccio P, Bidossi A, Bottagisio M, Drago L, Torretta S et al. Salivary calculi microbiota: new insights into microbial networks and pathogens reservoir. Microbes Infect. 2019; 21(2):109-112. DOI: 10.1016/j.micinf.2018.10.002.

Kim MJ, Milliren A, Gerold DJ Jr. Salivary Gland Disorders: Rapid Evidence Review. Am Fam Physician [Internet]. 2024 [citado 2024 Jun 12]; 109(6):550-559. Disponível em: https://pubmed.ncbi.nlm.nih.gov/38905553/

Goncalves M, Schapher M, Iro H, Wuest W, Mantsopoulos K, Koch M. Value of Sonography in the Diagnosis of Sialolithiasis: Comparison With the Reference Standard of Direct Stone Identification. J Ultrasound Med. 2017; 36(11):2227-2235. DOI: 10.1002/jum.14255.

Strychowsky JE, Sommer DD, Gupta MK, Cohen N, Nahlieli O. Sialendoscopy for the management of obstructive salivary gland disease: a systematic review and meta-analysis. Arch Otolaryngol Head Neck Surg. 2012; 138(6):541-7. DOI: 10.1001/archoto.2012.856.

Anicin A, Urbancic J. Sialendoscopy and CT Navigation Assistance in The Surgery of Sialolithiasis. Radiol Oncol. 2021; 55(3): 284–291. DOI: 10.2478/raon-2021-0015.

Koch M, Zenk J, Iro H. Algorithms for treatment of salivary gland obstructions. Otolaryngol Clin North Am. 2009; 42(6):1173-92, Table of Contents. DOI: 10.1016/j.otc.2009.08.002.

Lommen J, Schorn L, Roth B, Naujoks C, Handschel J, Holtmann H, et al. Sialolithiasis: retrospective analysis of the effect of an escalating treatment algorithm on patient-perceived health-related quality of life. Head Face Med. 2021; 17(1):8. DOI: 10.1186/s13005-021-00259-1.

Estomba CC, Valldeperes-Vilanova A, González-García J, Larruscain-Sarasola E, Sistiaga-Suarez J, Altuna-Mariezcurrena X. Neurological complications and quality of life after submandibular gland resection. A Prospective, non-randomized, single-centre study. Otolaryngol Pol. 2019; 73(6):32-37. DOI: 10.5604/01.3001.0013.4120.

Downloads

Published

2025-11-24

How to Cite

1.
Macedo Silva J, Quinet de Andrade Bastos L, Nogueira Silva B, Furtado de Carvalho M. Giant sialolith of the submandibular gland: case report. HU Rev [Internet]. 2025Nov.24 [cited 2025Dec.5];51. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/49369

Issue

Vol. 51 (2025)

Section

Relato de Caso

License

Copyright (c) 2025 Júlia Macedo Silva, Lucas Quinet de Andrade Bastos, Breno Nogueira Silva , Matheus Furtado de Carvalho

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Cessão de Primeira Publicação à HU Revista

Os autores mantém todos os direitos autorais sobre a publicação, sem restrições, e concedem à HU Revista o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento irrestrito do trabalho, com reconhecimento da autoria e crédito pela citação de publicação inicial nesta revista, referenciando inclusive seu DOI.

 

 

Most read articles by the same author(s)