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Dentoalveolar surgery. Test 11: Sialolithiasis

Publication at Faculty of Medicine in Pilsen |
2015

Abstract

The author presents a case of salivary stone in submandibular gland. Sialolithiasis refers to formation of concrements inside the salivary ducts.

It is the most common disorder and it causes most of cases of salivary duct obstruction. The symptomatic sialolithiasis can be observed mostly in men patients between 30 and 60 years old.

Current diagnostic management includes CT, USG and MRI. Although sialolithiasis has been associated with inflammation leading to irreversible parenchymal damage, recent studies show that recovery of secretory function after stone removal is most probable.

Sialoendoscopy, representing also therapeutic method, is becoming increasingly common as well as other gland-preserving conservative trans-oral surgical removal of the stone.