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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
MANAGEMENT OF SIALOLITH OF SUBMANDIBULAR DUCT
Author
Mahesh Goel1*, Naveen Jindal2, Jitender Batra2, Rajiv Tanwar3, Pankaj Kamboj3, Banshilal3
Email
drmaheshgoelos@gmail.com
keyword
Salivary calculi, Submandibular gland duct, Maxillofacial Surgery.
Abstract
The great majority of salivary calculi (80%) occur in the submandibular gland duct. Ten percent occur in the parotid gland and the remaining 10% in the sublingual gland and the minor salivary glands. The exact cause and pathogenesis are still unknown. Men have a slight predilection for occurrence, usually after the age of 40 years. A 48 years old female patient reported to the department of oral and maxillofacial Surgery, PGIDS, Rohtak with complaint of swelling and associated pain below the tongue since 6-7 months was managed under local anesthesia in day care. Salivary calculi are usually small and measure from 1 mm to less than 1 cm. They rarely measure more than 1.5 cm. Mean size is reported as 6 to 9 mm. Large and giant calculi may perforate the floor of the mouth by ulcerating the duct or may result in a skin fistula by causing a suppurative infection. Different treatment options may be selected according to the size and location of the sialolith. Small sialolith of the major salivary glands sometimes can be treated conservatively but larger sialoliths usually need to be removed surgically. If significant inflammatory damage has occurred within the feeding gland, the gland may need to be removed.
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