Sialo-oral fistula with giant sialolithies of the     submandibular duct (case report) Thaer Hameed Mohsin

	Sialo-oral fistula with giant sialolithies of the submandibular duct (case report) Thaer Hameed Mohsin
Journal Of Wassit For Science & Medicine
Article 1, Volume 9, Issue 2, 2016, Pages 1-5
Abstract
Abstract Sialolithiasis: is the most common disease of salivary glands. It is a condition characterized by the obstruction of a salivary gland or its excretory duct due to the formation of calcareous concretions, resulting in salivary ectasia and even determining the subsequent dilatation of the salivary gland. The sialoliths usually measure from 1 mm to less than 10 mm. They rarely measure more than 15 mm. frequently and rare giant salivary gland calculi >15 mm. Case report: male 42 years old have a giant stone in the right submandibular gland duct about 45mm which is one of the biggest submandibular duct stone reported in the literatures with perforation of the wharthins duct, it was diagnosed through the long history, more than 20 years, pain, tenderness ,dysphagia ,difficult in specking.Clinical examination revealed extra oral bulginess of the submandibular gland with intra oral fistula in its duct , extra oral true lateral radio graphical examination showed large stone extended from the first right lower molar to the first right lower central, It was treated by very small trans-oral surgical incision under local anesthesia through the ductal oral fistula just extended anteriorly and posteriorly and the stone left the warthins duct automatically by the action of the pressure of the discharge following the stone removal frequently, No recurrence was seen on follow-up.

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