Nadir Bir Parotis Bezi Sialolitinin Tanısı ve Minimal İnvaziv Tedavisi: Olgu Sunumu

Year 2025, Volume: 4 Issue: 3, 71 - 76, 23.09.2025

Birkan Eyüp Yılmaz , Büşra Nur Gökkurt Yılmaz , Sule Erdem

Abstract

Sialolit, tükürük bezlerinin en sık görülen patolojilerinden biridir. Tüm sialolitlerin yaklaşık %5-20'si parotis bezinde görülür. Bu olgu sunumunda nadir görülen bir parotis sialolitinin tanı ve tedavi süreci sunulmaktadır. 71 yaşında erkek hasta kliniğimize sol yanak bölgesinde 6 aydır devam eden ağrı ve şişlik şikayetiyle başvurdu. İntraoral muayenede Stensen kanalı seviyesinde hassasiyet ve irin akıntısı görüldü. Panoramik radyografide Stensen kanalı bölgesinde radyoopak kitle görüldü. Sialolitin boyutunu, yerini ve çevre dokularla ilişkisini değerlendirmek için konik ışınlı bilgisayarlı tomografi (CBCT) kullanıldı. Sialolit, lokal anestezi altında transoral yaklaşımla cerrahi olarak çıkarıldı. Tükürük akışının devamını sağlamak için bir dren yerleştirildi. Hasta komplikasyonsuz bir şekilde iyileşti. Bu olgu, parotis siyalolitinin doğru tanısal görüntüleme ve uygun cerrahi planlama ile başarılı bir şekilde tedavi edilebileceğini göstermektedir.

Keywords

Parotis sialoliti , transoral sialolitotomi , tükrük bezi hastalıkları

Diagnosis and Minimally Invasive Management of a Rare Parotid Gland Sialolith: A Case Report

Abstract

Sialolith is one of the most common pathologies of the salivary glands. Approximately 5–20% of all sialoliths occur in the parotid gland. This case report presents the diagnosis and treatment process of a rare parotid sialolith. A 71-year-old male patient presented to our clinic with a 6-month history of pain and swelling in the left cheek region. Intraoral examination revealed tenderness and pus drainage at the level of the Stensen’s duct. Panoramic radiograph showed a radiopaque mass corresponding to the duct’s course. Cone-beam computed tomography (CBCT) was used to evaluate the size, location, and relationship of the sialolith to surrounding tissues. The sialolith was surgically removed via a transoral approach under local anesthesia. A drain was placed to maintain salivary flow. The patient made a full recovery without complications. This case demonstrates that parotid sialolith can be successfully managed with accurate diagnostic imaging and appropriate surgical planning.

Keywords

Parotid sialolith , transoral sialolithotomy , salivary gland disease

Ethical Statement

This case report does not require ethics committee approval. Written informed consent was obtained from the patient.

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