Jitender Kumar Aurora¹, Shamita Tiwari²*, Parul Tandon³, Himanshu Chauhan³, Amartya P Srivastava² and Preeti Sharma⁴

¹Professor and Head, Department of Oral and Maxillofacial Surgery, Saraswati Dental College, Lucknow, India
²Senior Lecturer, Department of Oral and Maxillofacial Surgery, Saraswati Dental College, Lucknow, India
³Reader, Department of Oral and Maxillofacial Surgery, Saraswati Dental College, Lucknow, India
⁴Private Practitioner, Lucknow, India

*Corresponding Author: Shamita Tiwari, Senior Lecturer, Department of Oral and Maxillofacial Surgery, Saraswati Dental College, Lucknow, India.

Received: September 30, 2021; Published: November 23, 2021

Abstract

Sialolith of the salivary glands is a common finding. Superadded infections can make the condition painful. Management of sialolithiasis can be done conservatively or by intraoral surgery without recurrence. Though these can be treated successfully with rare chances of recurrence, multiple sialoliths is a rare finding. It becomes difficult for a surgeon to manage it by less invasive surgery if there are multiple recurring calculi.

This case report presents the case of a 35 year old woman who reported for the management of multiple calculi which was managed by intraoral incision and 9 sialoliths were retrieved from the Wharton’s duct. Occlusal radiographs and restoration of salivary flow confirmed that all the sialoliths had been retrieved. Composition analysis was carried out for the calculi. However, recurrence occurred multiple times eventually leading to the sialadenitis of the gland. Surgical excision of the submandibular gland was performed to prevent further discomfort to the patient.

Recurrence of calculi plays a major role in deciding the method of treatment. Studies on composition analysis can help analyse the cause of multiple recurrences in future.

Keywords: Sialolith; Salivary Glands; Radiographs

References

1. Moghe S., et al. “Parotid sialolithiasis”. BMJ Case Reports (2012).
2. Iqbal Ali., et al. “Unusually large sialolith of Wharton's duct”. Annals of Maxillofacial Surgery1 (2012): 70-73.
3. Williams MF. “Sialolithiasis”. Otolaryngologic Clinics of North America 5 (1999): 819-834.
4. Bodner L. “Giant salivary gland calculi: diagnostic imaging and surgical management”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 3 (2002): 320-323.
5. Arifa Sheik P., et al. “Sialolithiasis of the Submandibular Gland: Report of Cases”. Cureus3 (2019): e4180.
6. Hazarika Produl., et al. “Deep and unusual sialolithiasis of submandibular duct and gland: a surgical dilemma”. Indian Journal of Otolaryngology and Head and Neck Surgery: Official Publication of the Association of Otolaryngologists of India4 (2013): 309-313.
7. Duong Lucas., et al. “Management of anterior submandibular sialolithiasis”. Journal of Oral Medicine and Oral Surgery (2019).
8. Kraaij S., et al. “Salivary stones: symptoms, aetiology, biochemical composition and treatment”. British Dental Journal 217 (2014): E23.
9. Siddiqui SJ. “Sialolithiasis: an unusually large submandibular salivary stone”. British Dental Journal 2 (2002): 89-91.

Citation

Citation: Shamita Tiwari., et al. “Multiple Recurrent Obstructive Sialolithiasis of Left Wharton’s Duct - A Case Report".Acta Scientific Otolaryngology 3.12 (2021): 26-30.

Copyright

Copyright: © 2021 Shamita Tiwari. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.