Sialolith in Submandibular Salivary Gland: 2 Clinical Notes.

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]