Asymptomatic salivary gland stone of unusual size in the VVharton's duct

Abstract

A 44-year-old male patient presented with a com- plaint of dysphonia. On oropharynx examination, a polypoid mass was detected in the right vocal cord and firmness in the floor of the mouth, 3-4 cm in size. Computed tomography shovved a stone in the right VVharton’s duct. Saliva came out of the orifice of the VVharton’s duct on palpation. The stone was removed transorally. Despite its huge size 30x20 mm , the patient had no complaint. No recurrence was seen during a follow-up period of 18 months with ultrasonography.

Keywords

• Salivary gland calculi, surgery

Wharton kanalında semptom vermeyen dev tükürük bezi taşı

Abstract

Ses kısıklığı yakınmasıyla başvuran ve sağ vokal kordunda polipoid lezyon saptanan 44 yaşında- ki erkek hastanın orofarenks muayenesinde ağız tabanında, sağ tarafta 3-4 cmʼlik sertlik fark edildi. Bilgisayarlı tomografide sağ Wharton kanalında taş belirlendi. Palpasyonla Wharton kanalının ağzından tükürük akışı görülüyordu. Taş intraoral olarak çıka- rıldı. Taşın büyüklüğü 30x20 mm olmasına rağmen hastanın hiçbir yakınması yoktu. Hastanın ameliyat sonrası 18 aylık ultrasonografi ile takiplerinde her- hangi bir sorunla karşılaşılmadı

Keywords

• Tükürük bezi taşı/cerrahi.

References

1. Zenk J, Constantinidis J, Al-Kadah B, Iro H. Transoral removal of submandibular stones. Arch Otolaryngol Head Neck Surg 2001;127:432-6.
2. Akin I, Esmer N. A submandibular sialolith of unusual size: a case report. J Otolaryngol 1991;20:123-5.
3. Günaydın Y, Karakurumer K, Öztürk A, Şahin M. Sialolitiazis. Ankara Üniv Hekim Fak Derg 1989; 16:493-6.
4. Marchal F, Kurt AM, Dulguerov P, Lehmann W. Retrograde theory in sialolithiasis formation. Arch Otolaryngol Head Neck Surg 2001;127:66-8.
5. Avrahami E, Englender M, Chen E, Shabtay D, Katz R, Harell M. CT of submandibular gland sialolithiasis. Neuroradiology 1996;38:287-90.
6. Teymoortash A, Wollstein AC, Lippert BM, Peldszus R, Werner JA. Bacteria and pathogenesis of human salivary calculus. Acta Otolaryngol 2002;122:210-4.
7. Raksin SZ, Gould SM, Williams AC. Submandibular duct sialolith of unusual size and shape. J Oral Surg 1975;33:142-45.
8. Brusati R, Fiamminghi L. Large calculus of the subman- dibulargland; report of case. J Oral Surg 1973;31:710-11.

9. Mustard TA. Calculus of unusual size in Wharton’s duct. Br. Dent J 1945; 79: 129.
10. Hong KH, Kim YK. Intraoral removal of the subman- dibular gland: a new surgical approach. Otolaryngol Head Neck Surg 2000;122:798-802.
11. Novotny GM. Submandibular sialolithiasis: transoral excision. J Otolaryngol 1989;18:354-6.