Penetrating Self Inflicted Injury of the Laryngopharynx

Karthikeyan Ramasamy¹, Vignesh Karunakaran1, Vishak MS², Nithya Kishore²* and Pradeepraj Singarayen³

¹Assistant Professor, Department of Otorhinolaryngology, JIPMER, Karaikal, India
²Senior Resident, Department of Otorhinolaryngology, JIPMER, Karaikal, India
³Chief Medical Officer, Department of ENT, Government General Hospital, Karaikal, India

*Corresponding Author: Nithya Kishore, Senior Resident, Department of Otorhinolaryngology, JIPMER, Karaikal, India.

Received: March 19, 2024; Published: July 15, 2024

Abstract

Introduction: Sialolithiasis can cause obstructive symptoms and sialadenitis. Rarely, large sialoliths self-extrude from ductal openings instead of requiring surgical removal.

Case Report: A 17-year-old boy presented with a painful 3-day history of right submandibular swelling, fever, and malaise, with prior similar symptoms 5 years ago.

Examination showed a tender, erythematous 2x2 cm swelling and purulent discharge from the right Wharton’s duct. CT revealed an edematous right submandibular gland, an 18*8 mm sialolith proximally, and a 6*6 mm stone distally in the duct. He was managed conservatively with intravenous antibiotics, fluids, and analgesics. On day 3, the smaller than the larger stone self-extruded through the duct over 8 hours, followed by purulent discharge. Over 2 days, the swelling and erythema subsided. At 2-week follow-up, he was symptom-free.

Conclusion: Even giant sialoliths can self-extrude with conservative treatment, averting surgical removal in acute sialadenitis.

Keywords: Sialolith; Giant Sialolith; Self Extrusion; Sialadenitis

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Citation

Citation: Nithya Kishore., et al. “Self-Extrusion of Giant Sialolith in an Adolescent: Case Report".Acta Scientific Otolaryngology 6.8 (2024): 28-31.

Copyright

Copyright: © 2024 Nithya Kishore., et al. 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.