J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Jul;32(4):363-367.

A Giant Sialolith in a Wharton's Duct: Report of Two Cases

• Na HJ
• Yoon KH
• Cheong JK
• Bae JH
• Kim HL
• Jo KH
• Shin JM
• Baik JS

Abstract

Sialolithiasis is the most commom disease of salivary gland. The main symptoms are pain and swelling of the involved gland during eating. It can occur at any age but patients in their third to fifth decade present most cases. Males are more frequently affected than females. Most sialoliths are located within the duct system of the submandibular gland. Submandibular sialoliths close to the hilum of the gland tend to become large and ovoid shape, whereas sialoliths in the duct tend to be elongated. Commonly, sialoliths measure from 1 mm to less than 10 mm, and larger than 15 mm are considered rare. In one case we have removed a giant sialolith which was located in a wharton's duct and in the other case we have removed multiple sialolith including a giant sialolith which were also located in a Wharton's duct . We report these 2 cases with literature reviews.

Keyword

Sialolithiasis; Submandibular gland; Sialolith; Giant

MeSH Terms

Eating
Female
Humans
Male
Salivary Ducts
Salivary Gland Calculi
Salivary Glands
Submandibular Gland