Ductal sialolithiasis in submandibular gland containing giant salivary calculi: report of two cases

Introduction: The presence of calculi in Salivary Glands is considered a quite common phenomenon, however, some of these sialoliths could reach bigger sizes, and then be considered as giant calculus. Objective: The aim of the study was to report two cases of giant calculi in the submandibular saliva...

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Bibliographic Details
Authors: Jarmendia-Costa, Kathleen, Abrão Neto, Michel Calil, Candido dos Santos, Ana Paula Candido, Teixeira, Gustavo Santos, Rabelo, Gustavo Davi
Format: article
Status:Published version
Publication Date:2021
Country:Brasil
Institution:Universidade Federal de Juiz de Fora (UFJF)
Repository:HU Revista (Online)
Language:Portuguese
OAI Identifier:oai:periodicos.ufjf.br:article/33322
Online Access:https://periodicos.ufjf.br/index.php/hurevista/article/view/33322
Access Level:Open access
Keyword:Cálculos das Glândulas Salivares
Cálculos dos Ductos Salivares
Sialolitíase Ductal
Salivary Gland Calculi
Salivary Duct Calculi
Sialolithiasis
Description
Summary:Introduction: The presence of calculi in Salivary Glands is considered a quite common phenomenon, however, some of these sialoliths could reach bigger sizes, and then be considered as giant calculus. Objective: The aim of the study was to report two cases of giant calculi in the submandibular salivary gland, also, to improve their analysis by means of their surface area measurement. Case Report: Two adult patients were diagnosed with signs and symptoms suggestive of sialolithiasis. Imaging exams were conducted, with the final diagnosis of Salivary Gland Calculi. Both calculi were surgically removed, under local anesthesia at the dentist’s office. The giant calculi were photographed, measured, and classified as giant calculi because both showed more than 15 mm in the highest axis, also, by heaving a significant surface area. Both cases resolved after surgery, with no history of recurrence. Conclusion: Giant sialoliths are uncommon. It is necessary to discuss this phenomenon aiming for a consensus among the scientific community regarding the classification of the salivary gland calculi. The two cases reported in this article exemplify the complimentary use of the calculation of the calculi surface area on clinical images, which should be considered as an adjuvant maneuver in the classification of salivary sialoliths.