Submandibular Sialoliths with Three Variations: A Case Series

Abstract

Salivary gland calculi (sialoliths) are calcified structures or stones located in the parenchyma or ductal system of the salivary glands. The submandibular gland has the highest frequency of sialolith development among the major salivary glands. Depending on where they formed, submandibular sialoliths may be found in the salivary gland's parenchyma, hilar area, or duct. In this case series, submandibular sialolith variations in three patients admitted to Akdeniz University Faculty of Dentistry are presented with panoramic, cone beam computed tomographic, and ultrasonographic images.

Keywords

• salivary gland stone
• sialolith
• sialolithiasis
• ultrasonography
• cone beam computed tomography

Üç Varyasyonuyla Submandibular Tükürük Bezi Taşları: Olgu Serisi

Abstract

Tükürük bezi taşları (siyalolitler), tükürük bezlerinin parankimi veya duktal sisteminde yer alan kalsifiye yapılar veya taşlardır. Majör tükürük bezleri içinde en sık siyalolit oluşumu submandibular bezde görülmektedir. Submandibular siyalolitler oluştuğu yere göre tükürük bezinin kanalında, hiler bölgesinde veya parankim dokusu içinde bulunabilir. Bu olgu serisinde Akdeniz Üniversitesi Diş Hekimliği Fakültesi’ne başvuran üç hastada mevcut submandibular siyalolit varyasyonları panoramik, konik ışınlı bilgisayarlı tomografik ve ultasonografik görüntüleri ile birlikte sunulmuştur.

Keywords

• tükürük bezi taşı
• siyalolit
• siyalolitiyazis
• ultrasonografi
• konik ışınlı bilgisayarlı tomografi

References

1. 1. Kraaij S, Karagozoglu KH, Forouzanfar T, Veerman ECI, Brand HS. Salivary stones: symptoms, aetiology, biochemical composition and treatment. Br Dent J. 2014 Dec 5;217(11):E23.
2. 2. Sigismund PE, Zenk J, Koch M, Schapher M, Rudes M, Iro H. Nearly 3,000 salivary stones: some clinical and epidemiologic aspects. The Laryngoscope. 2015 Aug;125(8):1879–82.
3. 3. Ketenci̇ F. Submandibular Tükürük Bezi Taşı: İki Olgu Sunumu. Türkiye Klin Diş Hekim Bilim Derg. 2020;26(3):513–5.
4. 4. Üngör C, Coşkun Ü, Taşkesen F, Cezai̇rli̇ B. SUBMANDİBULAR DEV SİALOLİTİN ENDOSKOPİ YARDIMI İLE DİAGNOZU VE TEDAVİSİ: OLGU SUNUMU. Atatürk Üniversitesi Diş Hekim Fakültesi Derg. 2015 Feb 11;24(1):98–101.
5. 5. Lustmann J, Regev E, Melamed Y. Sialolithiasis. A survey on 245 patients and a review of the literature. Int J Oral Maxillofac Surg. 1990 Jun;19(3):135–8.
6. 6. Escudier MP, McGurk M. Symptomatic sialoadenitis and sialolithiasis in the English population, an estimate of the cost of hospital treatment. Br Dent J. 1999 May 8;186(9):463–6.
7. 7. Abraham ZS, Mathias M, Kahinga AA. Unusual giant calculus of the submandibular duct: Case report and literature review. Int J Surg Case Rep. 2021 Jul 1;84:106139.
8. 8. Pachisia S, Mandal G, Sahu S, Ghosh S. Submandibular sialolithiasis: A series of three case reports with review of literature. Clin Pract. 2019 Mar 20;9(1):1119.

9. 9. Brooks JK, Macauley MR, Price JB. Concurrent giant sialoliths within the submandibular gland parenchyma and distal segment of Wharton’s duct: Novel case report. Gerodontology. 2021;38(4):437–40.
10. 10. Drage NA, Wilson RF, McGurk M. The genu of the submandibular duct--is the angle significant in salivary gland disease? Dento Maxillo Facial Radiol. 2002 Jan;31(1):15–8.
11. 11. Huoh KC, Eisele DW. Etiologic factors in sialolithiasis. Otolaryngol--Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg. 2011 Dec;145(6):935–9.
12. 12. Horsburgh A, Massoud TF. The role of salivary duct morphology in the aetiology of sialadenitis: statistical analysis of sialographic features. Int J Oral Maxillofac Surg. 2013 Jan;42(1):124–8.
13. 13. Bullock KN. Parotid and submandibular duct calculi in three successive generations of one family. Postgrad Med J. 1982 Jan;58(675):35–6.
14. 14. Ouellette AL, Slack CL. Shrapnel-induced sialolith--a rare etiology for sialadenitis: case report. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2003 May;61(5):636–7.
15. 15. Kim DH, Kang JM, Kim SW, Kim SH, Jung JH, Hwang SH. Utility of Ultrasonography for Diagnosis of Salivary Gland Sialolithiasis: A Meta-Analysis. The Laryngoscope. 2022;132(9):1785–91.
16. 16. Jäger L, Menauer F, Holzknecht N, Scholz V, Grevers G, Reiser M. Sialolithiasis: MR Sialography of the Submandibular Duct—An Alternative to Conventional Sialography and US? Radiology. 2000 Sep;216(3):665–71.
17. 17. Schwarz D, Kabbasch C, Scheer M, Mikolajczak S, Beutner D, Luers JC. Comparative analysis of sialendoscopy, sonography, and CBCT in the detection of sialolithiasis. The Laryngoscope. 2015 May;125(5):1098–101.
18. 18. Vogl TJ, Al-Nawas B, Beutner D, Geisthoff U, Gutinas-Lichius O, Naujoks C, et al. Updated S2K AWMF guideline for the diagnosis and follow-up of obstructive sialadenitis--relevance for radiologic imaging. ROFO Fortschr Geb Rontgenstr Nuklearmed. 2014 Sep;186(9):843–6.
19. 19. Zengel P, Schrötzlmair F, Reichel C, Paprottka P, Clevert DA. Sonography: the leading diagnostic tool for diseases of the salivary glands. Semin Ultrasound CT MR. 2013 Jun;34(3):196–203.
20. 20. Diederich S, Wernecke K, Peters PE. [Sialographic and sonographic diagnosis of salivary gland diseases]. Radiol. 1987 Jun;27(6):255–61.
21. 21. Bohndorf K, Lönnecken I, Zanella F, Lanfermann L. [Value of sonography and sialography in the diagnosis of salivary gland diseases]. ROFO Fortschr Geb Rontgenstr Nuklearmed. 1987 Sep;147(3):288–93.
22. 22. Holden AM, Man CB, Samani M, Hills AJ, McGurk M. Audit of minimally-invasive surgery for submandibular sialolithiasis. Br J Oral Maxillofac Surg. 2019 Jul;57(6):582–6.