Huge Submandibular Gland Calculus in Port Harcourt: A Case Report
DOI:
https://doi.org/10.60787/tnhj.v18i4.420Keywords:
Sialolithiasis, Huge Submandibular Calculus.Abstract
Introduction: Sialolithiasis is one of the common diseases of the salivary glands most commonly affecting the submandibular gland. This report describes the case of a patient with an unusually large submandibular gland calculus (approximately 40mm x 25mm) and the management challenges encountered.
Case Summary: A 45 year old male who presented to the Accident and Emergency department of the University of Port Harcourt Teaching Hospital with a history of swelling in the right submandibular region of 9 years duration, severe pains of 5 days duration and purulent discharge of 1 day duration. Swelling was said to intermittently wax and wane over the past 9 years usually following meals.
A clinical diagnosis of Right Submandibular Abscess secondary to Right Submandibular Sialolithiasis was made, incision and drainage of the abscess done, oral antibiotics and analgesics prescribed. Following resolution of the abscess, radiological investigations were done which confirmed the diagnosis of a Right Submandibular Sialolithiasis.
He had a right submandibular gland excision done 3 weeks later with delivery of a calculus measuring 40mmx25mm following difficult dissection.
Conclusion: Surgical dissection of a huge submandibular gland with the stone en-bloc can be challenging and puts the surrounding structures at risk. An alternative technique as presented in this report is to first deliver the stone from within the gland and subsequently dissect out the gland.
Downloads
References
. Porter S, Non-neoplastic salivary gland diseases. In: Scott Brown’s Otorhinolaryngology, Head and Neck surgery Seventh ed. Hodder Arnold; 2008 P. 1904-1906.
. Arrieta AJ, McCaffrey TV, Inflammatory disorders of the salivary glands. In: Cummings Otolaryngology, Head and Neck Surgery, Fourth ed. Elsevier Mosby; 2005, P. 1328-1330.
. Fefar AD, Jivani PS, Mehta MR, Khavdu PJ, Mistry SN, Dodia MN. A huge salivary calculi of the submandibular gland: a case report with the review of literature. J Med Res. 2015;1(1):5-7.
. Ledesma-Montes C, Garces Ortiz, Salcido Garcia J, Hernandez Flores F, Hermandez-Geurrero H, Giant Sialolith, Case report and review of literature. J Oral Maxillofac surg. 2007;65:128-30.
. Lustman J, Regev E, Melamed Y. Sialothiasis: a survey on 245 patients and review of the literature. Int J Oral MaxillofacSurg 1990;19:135-8.
. Gupta A, Rattan D, Gupta R. Giant sialoliths of submandibular gland duct: Report of two cases with unusual shape. ContempClin Dent 2013; 4:78-80.
. Kandel S, Pandey BR, Poudel P. Submandibular gland sialolith of unusual size. Journal of Lumbini Medical College. 2017 Jul 22;5(2):74-6.
. Buch B, Machaka M, Mabongo M. Submandibular calcification: A report on two cases and a review. South African Dental Journal. 2016 Oct;71(9):415-7.
. Novendra BP, Rahardjo, Rahajoe PS. 2018. Sialolithotomy and sialodochoplasty of giant sialolith in the submandibular duct: a case report. Journal of Dentomaxillofacial Science 3(1): 119-122
. Preuss SF, Klussmann JP, Wittekindt C, Drebber U, Beutner D, Guntinas-Lichius O. Submandibular gland excision: 15 years of experience. Journal of oral and maxillofacial surgery. 2007 May 1;65(5):953-7.
. Hernando M, Echarri RM, Taha M, Martin-Fragueiro L, Hernando A, Mayor GP. Surgical complications of submandibular gland excision. Acta Otorrinolaringologica (English Edition). 2012 Jan 1;63(1):42-6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 The Nigerian Health Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.
