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Wharton's Duct Sialolith of Unusual Size: A Case Report with a Review of the Literature.

Mathew Cherian N, Vichattu SV, Thomas N, Varghese A - Case Rep Dent (2014)

Bottom Line: There is an increased incidence of submandibular gland duct developing sialoliths.Among them the sialoliths attaining a size of more than 1.5 cms are rare.Here we present a case with an abnormally sized sialolith in Wharton's duct and a review of the literature about the abnormally sized sialoliths and various anatomical and physiological considerations of the duct which contribute to the higher incidence of sialolith in the duct.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Mar Baselios Dental College, Kothamangalam, Ernakulam, Kerala 686691, India.

ABSTRACT
There is an increased incidence of submandibular gland duct developing sialoliths. Among them the sialoliths attaining a size of more than 1.5 cms are rare. Here we present a case with an abnormally sized sialolith in Wharton's duct and a review of the literature about the abnormally sized sialoliths and various anatomical and physiological considerations of the duct which contribute to the higher incidence of sialolith in the duct.

No MeSH data available.


Related in: MedlinePlus

Sialolith measuring 20 mm.
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fig4: Sialolith measuring 20 mm.

Mentions: After induction of local anesthesia, retraction suture was placed around the duct distal to the stone, which was then retracted anteriorly. A mucosal incision was placed and careful blunt dissection of the tissues was done and sialolith was located. A longitudinal incision through the superior duct wall overlying the sialolith was placed and the sialolith was evacuated (Figures 3 and 4). Saline irrigation and milking of the gland was done to remove any small residual stones or mucin plugs. Approximation of the wound was done with a few 3–0 vicryl sutures. Following the postoperative instructions the patient was recalled after seven days for review. The healing was found to be satisfactory and salivary flow was found to be normal and patient was relieved of the symptoms.


Wharton's Duct Sialolith of Unusual Size: A Case Report with a Review of the Literature.

Mathew Cherian N, Vichattu SV, Thomas N, Varghese A - Case Rep Dent (2014)

Sialolith measuring 20 mm.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4227367&req=5

fig4: Sialolith measuring 20 mm.
Mentions: After induction of local anesthesia, retraction suture was placed around the duct distal to the stone, which was then retracted anteriorly. A mucosal incision was placed and careful blunt dissection of the tissues was done and sialolith was located. A longitudinal incision through the superior duct wall overlying the sialolith was placed and the sialolith was evacuated (Figures 3 and 4). Saline irrigation and milking of the gland was done to remove any small residual stones or mucin plugs. Approximation of the wound was done with a few 3–0 vicryl sutures. Following the postoperative instructions the patient was recalled after seven days for review. The healing was found to be satisfactory and salivary flow was found to be normal and patient was relieved of the symptoms.

Bottom Line: There is an increased incidence of submandibular gland duct developing sialoliths.Among them the sialoliths attaining a size of more than 1.5 cms are rare.Here we present a case with an abnormally sized sialolith in Wharton's duct and a review of the literature about the abnormally sized sialoliths and various anatomical and physiological considerations of the duct which contribute to the higher incidence of sialolith in the duct.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Mar Baselios Dental College, Kothamangalam, Ernakulam, Kerala 686691, India.

ABSTRACT
There is an increased incidence of submandibular gland duct developing sialoliths. Among them the sialoliths attaining a size of more than 1.5 cms are rare. Here we present a case with an abnormally sized sialolith in Wharton's duct and a review of the literature about the abnormally sized sialoliths and various anatomical and physiological considerations of the duct which contribute to the higher incidence of sialolith in the duct.

No MeSH data available.


Related in: MedlinePlus