Giant Sialolith with 20 Years of Evolution in the Submandibular Duct

• DOI: 10.4236/ojst.2020.106013
• Publication Date: 2020-06-11T08:41:46Z
• Authors: Victor Tieghi Neto; Rosana Mara Adami...; Andrea Guedes Bar...; Eduardo Stedile F...; Caio Peres Bellato; Izabel Regina Fis...; Eduardo Sanches G...
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

Sialolithiasis is a common disease that affects the major salivary glands, which characterized by obstruction of gland itself or its excretory duct due to formation sialolith, resulting in decreased flow. It mainly submandibular glands (80% - 90%), probably because it has long surrounds mylohyoid muscle and emerges against gravity through Wharton’s duct. The size calculus can vary from below 1 millimeter (mm) few centimeters diameter, where most stay 10 mm. Only 7% are greater than 15 mm these classified as giant calculi. This report presents case asymptomatic sialolith (approximately 60 diameter) located right gland, with 20 years evolution. treatment choice was surgical removal (calculus) maintenance gland. Although individual did not present complaints related presence calculi, had great impact on their quality life, since significant respiratory improvement reported individual. difference better sleep quality.