Search

Objectives: Salivary glands could be affected by a variety of diseases: local and systemic. The glands could also be infected by viral, bacterial, rarely fungal or its ductal obstruction which can cause painful swelling or obstruction, affecting their functions. Benign and malignant tumors are yet another important pathology of salivary glands. The aim of this study was to assess the incidence and management of salivary gland pathologies such as mucoceles, ranula and sialoliths in our regional population. Materials and Methods: All the cases reported between the month of June 2023 to January 2024 for salivary gland pathology were chosen for this study. Data of 20 patients who were affected and treated for various obstructive and traumatic lesions of salivary gland disorders were analyzed, tabulated and were subjected to statistical analysis. Results: From the statistical analysis, it can be observed that of all the lesions considered, mucoceles were highly prevalent (50%) when compared to sialoliths (30%) and Ranula (20%). Conclusion: Within the limitations of this study, the commonly observed lesion was mucocele especially in patients among the age group of 3 to 15 years and primarily encountered in males. [ABSTRACT FROM AUTHOR]

Copyright of Revista ADM is the property of Asociacion Dental Mexicana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Rationale: Sialoliths are calcified organic matter that form within the secretory system of the salivary glands. They rarely measure more than 1.5 cm. Giant sialoliths are rare and defined as a size of 3.5 cm or larger. Patient concerns: Patient complained of the pain and swelling in the right submandibular area for two years with increase in size during meals. Diagnosis: Based on the clinical and radiological investigations. Treatment: Sialolith measuring 39 mm and weighing 7.02 g, was removed in a minimally invasive manner through transoral sialolithotomy using diode 810 μm LASER unit under local anaesthesia. Outcomes: Patient was relieved of the preoperative symptoms and was on follow-up for one year. Take-Away Lessons: Various newer treatment modalities are effective alternatives to conventional surgical treatment of sialoliths. However, transoral sialolithotomy remains the mainstay of management. [ABSTRACT FROM AUTHOR]

Sialolithiasis is a multi-factorial pathology that accounts for more than 50% of salivary gland disease. However, the exact impact of salivary pH and calcium (Ca2+) and phosphate (PO4 3-) on the sialoliths' formation still remains unknown. Materials and Methods: Seven removed sialoliths were put into flasks with artificial saliva solution that differed in concentrations of Ca2+ and PO4 3-. The changes in weights of sialoliths and alterations in pH had been measured for 13 weeks. Concentrations of Ca2+ and PO4 3- in the artificial saliva solution were estimated at the beginning and at the end of the experiment. Results: Sialoliths' weight decrease was observed from the 2nd to 7th week. It occurred parallel with natural pH decrease (from 7 to 6.5 pH). Sialoliths' weights started increasing after pH was adjusted with NaOH. Analyzing the concentration changes of Ca2+ in every flask, it was determined that from natural or double Ca2+ concentration, it decreased till similar amount (7-14 times). Analyzing the concentration changes of PO4 3-, it was determined that from natural or double PO4 3- concentration it decreased 24 times. Conclusions: Sialoliths' weights decreased parallel with natural pH decrease and sialoliths grew when pH was adjusted. PO4 3- ions concentration decreased relatively more than Ca2+ ions concentration. [ABSTRACT FROM AUTHOR]

Sialolithiasis is a common disease of the major salivary glands, characterized by the obstruction of a salivary gland or its excretory duct due to the formation of calcareous concretions. Sialoliths usually measure from 1 mm to <10 mm. They rarely measure more than 15 mm, and infrequently giant salivary gland calculi >15 mm have been reported in the literature. The submandibular gland and its duct appear to be the most susceptible sites for this disease. In this article, we report two unique cases, including a giant bilateral case, measuring 50 mm in length and 5 mm in width on the right side and one, 30 mm in length, and 5 mm in width on the left side; and another case, measuring 83 mm in length. The diagnostic and therapeutic approaches consisted of transocclusal radiography with the conservative transoral surgical technique in both cases. The follow-up showed the normal function of the relevant salivary glands. To the best of our knowledge and belief, similar cases have not been reported in the literature. [ABSTRACT FROM AUTHOR]

Background: Sialolithiasis is one of the most common diseases of the salivary gland. The submandibular gland and its duct appear to be the most susceptible. However, giant sialolith have rarely been reported in the literature. Clinical notes: This clinical report described management of 58-year-old and 25-years-old, female patient of sialoliths and giant sialoliths in the submandibular duct. A transoral removal of the stone was done under local anesthesia. Results: The giant stone was 24 mm long in later case. Follow-up showed asymptomatic and normal functioning glands. The etiology, pathogenesis and management of such giant sialoliths are discussed. Conclusion: It is interesting to note that both patients remained relatively asymptomatic in spite of such long-standing sialoliths. The glands also recovered normal function quickly following removal of stones, which is interesting as such longstanding stones usually produce irreversible functional damage to the gland. A conservative approach to the gland will spare the patient the morbidity associated with gland removal. [ABSTRACT FROM AUTHOR]

Sialolithiasis is a disease that is characterized by the presence of sialolith in the different parts of the salivary gland. Sialoliths are hard structures of oval shape with different size. The color varies from white to brown and has a nodular surface. Sialoliths are usually composed of an intensely calcified organic core and is surrounded by an alternative layer of organic and inorganic substance. Sialoliths occurs with a frequency of 1.2%. The most common site is the submandibular gland. We present a case with the chief complain of pain, swelling and extraoral pus discharge at the left submandibular region. Based on the radiographic and clinical examination a diagnosis of sialolithiasis of the left submandibular gland was made. The sialolith was removed under general anesthesia. [ABSTRACT FROM AUTHOR]