Akademik Veri Yönetim Sistemi
AÇBİD 15th İnternational Congress, Antalya, Türkiye, 11 - 15 Mayıs 2022, ss.202
Objective: The term sialolith is used to describe the structure composed of protein decomposition products and calcium salts in the parenchyma or excretory ducts of the salivary glands. It is generally observed in the Submandibular gland and Wharton’s duct in 80%, in 5-20% of the Parotid gland and Stenonda duct. Sialolith formation in the sublingual gland and Bartolini duct is a rare condition of 1–5%. In this case, the surgical treatment of sublingal salivary gland stone is described.
Case: A 35-year-old female patient was referred to our clinic with complaints of pain and swelling in the floor of the mouth. As a result of the clinical and radiological examination of the patient, the 15x15 mm sized lesion in the sublingual region, hard on palpation, and radiopaque on the radiograph, was evaluated as sialolith in the sublingual canal. Sialolith in the sublingual gland duct was enucleated intraorally from the patient who was operated under local anesthesia. No complications were encountered in the postoperative period. Patient follow-up continues.
Conclusion: Sialoliths are one of the most common diseases of the salivary glands. The growing stone gives symptoms with the reaction of the salivary gland duct. These symptoms are swelling, edema, pain, inflammatory conditions. Dentists may be the physicians who notice salivary gland stones routinely clinically and radiographically. If it does not affect the salivary gland functions and the patient has no complaints, it can be followed. In other cases, the stone should be surgically removed with an intraoral approach, if possible.
Keywords: sialolith, sublingual sialolith, sublingual gland