Extra-large Rare Parotid Sialolith - A Case Report and Review of Literature
Keywords:
Parotid gland, Stensen's duct, Sialolith, Sial-endoscopy, SialolithotomyAbstract
Sialoliths, comprising 30% of all salivary gland diseases, can lead to excretory duct obstruction. Predominantly affecting the submaxillary gland (83 to 94%), followed by the parotid (4 to 10%) and sublingual glands (1 to 7%), these concretions have an average size ranging from 6 to 9 mm. We present a case of 34-year-old male presented with an extra-large sialolith in the right parotid duct. The diagnosis was confirmed through clinical examination, panoramic radiography (OPG), and CT scan. The treatment included intra-oral sialolithotomy along with the administration of oral antibiotics and analgesics. Parotid gland calculi, typically unilateral and more prone to affect the duct than the gland itself, are less prevalent than subman-dibular calculi. The choice of treatment for sialoliths depends on factors such as size and location.
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References
1. Srinivas Gadipelly, Srilatha T, et al. Parotid sialolith- a case report and review of literature. International Journal of Contemporary Medical Research 2016;3(4);1211-1213.
2. Ashindoitiang JA, Nwagbara VIC, Ugbem T, et al. Huge sialolith of the submandibular gland: a case report and review of literature. J Int Med Res. 2023;51(1):3000605221148443.
3. Ali Iqbal, Anup Gupta K, Subodh Natu S, et al. Unusually large sialolith of Wharton’s duct. Ann Maxillofac Surg 2012;2(1):70-3.
4. Hills AJ, Holden AM, McGurk M. Sialendoscopy-assisted transfacial removal of parotid calculi. Acta Otorhinolaryngol Ital 2017;37(2):128-131.
5. Giacomo Oteri, Rosa Maria Procopio and Marco Ciccciù. Giant Salivary Gland Calculi (GSGC): Report of Two Cases. Open Dent J 2011;5:90-5.
6. Bodner L. Parotid sialolithiasis. J Laryngol Otol 1999;113(3):266-7.
7. Rust TA, Messerly CD. Oddities of salivary calculi. Oral Surg, Oral Med, Oral Pathol 1969;28 (6):862-865.
8. Torres-Lagares D, Barranco-Piedra S, Serrera- Figallo MA, et al. Parotid sialo-lithiasis in Stensen’s duct, Med Oral Patol Oral Cir Bucal 2006;1;11(1):E80-4.
9. Konstant inidis I, Paschaloudi S, Triaridis S, et al. Bilateral multiple sialolithiasis of the parotid gland in a patient with Sjögren’s syndrome. Acta Otorhinolaryngol Ital 2007;27(1):41-4.
10. Zenk J, Werner G, Hosemann MD, et al. Diameters of the main excretory ducts of the adult human submandibular and parotid gland - a histological study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85(5):576-80.
11. Iro H, Schneider H Th, Fodra C et al. Shockwave lithotripsy of salivary duct stones. Lancet 1992; 30;339(8805):1333-6.
12. Singh PP, Gupta V. Sialendoscopy: introduction, indications and technique. Indian J Otolaryngol Head Neck Surg 2014;66(1):74-8.
