Large Sialolith of the Submandibular Gland: Report of a Case and Comparison of Sialolithotomy VS Sialoadenectomy

Abstract

Introduction and Purpose: In this report we present a patient with a large sialolith of the submandibular gland and its treatment by sialolithotomy. Sialoadenectomy vs. sialolithotomy for treatment of large submandibular gland calculi has been discussed. Case Report: A 49 year-old male administered to our clinic with an ultrasonography report specifying submandibular gland calculi. An orthopantomograph was obtained and a large radio opaque lesion was detected just below the left mandibular border, in alignment with the second molar tooth. Computerized tomography examination was made and the calculus was designated to be in the posterior part of the gland. The sialolith was removed under general anesthesia, sialoadenectomy was not performed. At 3 months, 6 months and 1-year follow-up patient did not have any complaints. Result: We are in the opinion that sialolithotomy should be preferred primarily for large submandibular sialoliths and sialoadenectomy should be considered only if symptoms occur.

Keywords

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Submandibuler Bezde Büyük Tükürük Bezi Taşı: Olgu Sunumu ve Sialolitotomi ile Sialoadenektominin Karşılaştırılması

Abstract

Giriş ve Amaç: Bu olgu sunumunda submandibular bezinde büyük bir sialolit bulunan hastanın sialolitotomi ile tedavisini sunuyoruz. Büyük submandibular bez sialolitlerinin tedavisinde sialoadenektomi ve sialolitotomi tedavileri tartışılmıştır. Olgu Sunumu: 49 yaşında erkek hasta mandibular bez taşı olduğunu belirten ultrasonografi raporu ile kliniğimize başvurdu. Alınan ortopantomografta sol mandibula alt kenarında ikinci molar diş hizasında radyoopak lezyon teşhis edildi. Yapılan kompüterize tomografi incelemesinde taşın bezin posterior kısmında lokalize olduğu görüldü. Sialolitotomi genel anestezi altında yapıldı fakat sialoadenektomi uygulanmadı. 3 ay, 6 ay ve 1 yıl takiplerinde herhangi bir komplikasyona rastlanmadı. Sonuç: Büyük submandibular bez sialolitlerinin tedavisinde sialolitotominin birincil tedavi seçeneği olması gerektiği, sialoadenektominin semptomların devam etmesi durumunda gündeme getirilmesi gerektiği görüşündeyiz.

Keywords

• Sialolit, Submandibular Bez, Sialoadenektomi, Sialolitotomi

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