Intraoral Surgical Management of the Multiple Giant Submandibular Sialolithiasis

Abstract

Sialolithiasis is considered one of the most common diseases of the salivary gland, mainly affects submandibular glands. In the current case, a 57‑year‑old male complaining of a tender solid mass in the right sublingual area was cadidate to undergo surgical treatment. The patient suffered swelling and pain for 11 months. Imaging revealed multiple unilateral salivary stones in the submandibular glands. The sialoliths were removed through intraoral approach under local anesthesia. Examination revealed four sialoliths, one of them sized larger than 37 mm in length. Beside those giant sialolithes, what makes this case is unique is the patient’s endocrine disorder, the secondary hyperparathyroidism. So it would be plausible to consider checking possible endocrine and electrolyte imbalance in such cases alongside correct selection of surgical treatment plane.