TAOMS 28.ULUSLARARASI BİLİMSEL KONGRESİ, Antalya, Türkiye, 14 - 18 Kasım 2021, cilt.28, sa.1, ss.186
Objectives: Sialoliths or salivary stones (calculi) are calcified complexes within a salivary gland or duct that may obstruct salivary flow
and cause floor-of-the-mouth swelling. The aim of this study is to present two cases of sialoliths treated with sialolithotomy while
preserving the glands and related vital structures.
Case: The first case was a 53-year-old male patient who administered with the complaint of dry mouth and had no systemic disease. A
sialolith was observed via occlusal and panoramic radiography in the right submandibular salivary gland duct. Under local anesthesia,
the sialolith was removed. The second case was a 51-year-old male patient with hypertension who administered for a routine
examination. The patient complained of limitation of movement. Bilateral megaliths were observed in the submandibular salivary
glands via panoramic radiography and computerized cone beam tomography (CBCT). For removal of the megaliths, intraoral approach
under general anesthesia was preferred. In both cases the sialoliths were successfully retrieved.
Conclusion: During the surgical removal of sialoliths, not removing the salivary gland together with the sialolith will result in a more
atraumatic surgery while protecting neighboring vital structures and may be preferred as the initial treatment option.
Keywords: Salivary Stones, Sialolith, Sialolithiasis, Sialolithotomy, Submandibular Gland