Sialolithiasis perforating the floor of mouth: a case report

Öz

Sialolithiasis is the most common disease of the salivary gland. It is most commonly found in the submandibular gland, but less frequently in the parotid and sublingual glands. The submandibular gland is more prone to sialolithiasis than the parotid gland, because Wharton’s canal is wider and longer, it angulates against gravity at the posterior border of the mylohyoid muscle and submandibular gland secretion is more alkaline, mucinous, richer in calcium and phosphate and slower flow rate. In this case report, a patient whose floor of the mouth mucosa was perforated by a sialolith was presented. Although sialoliths are infrequently seen, they cause severe recurrent infections and pain in patients and adversely affect the quality of life. Therefore, the clinician should consider submandibular sialolithiasis in case of foreign body sensation in the floor of the mouth or swelling under the chin associated with a meal.

Anahtar Kelimeler

• sialolithiasis
• submandibular gland
• sialolithotomys

Ağız tabanını perfore eden tükürük bezi taşı: Olgu sunumu

Öz

Sialolithiasis, tükürük bezinin en sık görülen hastalığıdır. En sık submandibular bezde bulunur, ancak daha az sıklıkla parotis ve sublingual bezlerde ortaya çıkar. Submandibular bez parotis bezine göre sialolitiazise daha yatkındır. Çünkü Wharton kanalı daha geniş ve daha uzundur, milohyoid kasın arka sınırında yerçekimine karşı açılanma yapar ve submandibular bez sekresyonu daha alkali, müsinöz, kalsiyum ve fosfattan daha zengin ve daha yavaş akış hızına sahiptir. Bu olgu sunumunda ağız tabanı mukozası bir sialolit tarafından perfore edilmiş bir hasta sunuldu. Sialolitler nadiren görülmekle birlikte tekrarlayan ciddi enfeksiyonlara ve hastalarda ağrıya neden olarak yaşam kalitesini olumsuz etkiler. Bu nedenle klinisyen ağız tabanında yabancı cisim hissi veya çene altında yemekle ilişkili şişlik olması durumunda submandibular tükürük bezi taşını aklına getirmelidir.

Anahtar Kelimeler

• submandibular bez
• sialolitler
• sialolithiasis

Kaynakça

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