A 35-year-old male presented with a progressively painful swelling on the left side
of the neck for ten days, which increased when taking food. There was a 3 × 4 cm firm
and tender swelling in the left submandibular region on examination. On intra-oral
palpation, a hard swelling was felt in the left Wharton's duct, suggestive of a sialolith.
A diagnosis of submandibular sialolithiasis was made, and the diagnosis was confirmed
by ultrasound of the neck, which revealed a large hyperechoic stone in the Wharton's
duct (Figure 1, big arrow) with dilatation of the distal portion of the duct (Figure 1, small arrow). Intraoral removal of the hard 2 × 1 cm stone (Figure 2) was done by incising over the Wharton's duct. The patient was discharged on oral
antibiotics and antiseptic mouthwashes and was asymptomatic at one month follow-up.
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References
- Managing sialolithiasis.J Oral Maxillofac Surg. 2021; 79: 1581-1582https://doi.org/10.1016/j.joms.2021.04.021
- Sialolithiasis.(2021 Jul 18)StatPearls. StatPearls Publishing, Treasure Island, FL2021 ([Internet])
Article info
Publication history
Published online: August 19, 2022
Accepted:
August 12,
2022
Received:
January 7,
2022
Identification
Copyright
© 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
