Long-term rare giant sialolithiasis for 30 years:A case report and review of literature  

作　　者：Jit-Swen Mao Yu-Chien Lee Jessie Chao-Yun Chi Wan-Ling Yi Yung-An Tsou Chia-Der Lin Chih-Jaan Tai Liang-Chun Shih 

机构地区：[1]Department of Otorhinolaryngology-Head and Neck Surgery,China Medical University Hospital,Taichung 400,Taiwan [2]Department of Otorhinolaryngology,Head and Neck Surgery,Taichung Hospital,Ministry of Health and Welfare,Taichung 404,Taiwan [3]Department of Otorhinolaryngology-Head and Neck Surgery,Asia University Hospital,Taichung 404,Taiwan [4]School of Medicine,China Medical University,Taichung 404,Taiwan

出　　处：《World Journal of Clinical Cases》2023年第22期5382-5390,共9页世界临床病例杂志

基　　金：The China Medical University Hospital,No.DMR-110-242 and No.DMR-110-057.

摘　　要：BACKGROUND Sialolithiasis is one of the most common salivary gland disorders,most commonly affecting the submandibular gland.Submandibular sialolithiasis can be treated using non-invasive conservative measures and invasive treatments.Treatment selection was based on the ductal system anatomy and the size and location of the stones.This study aimed to review the updates on sialolithiasis treatment and compare the different management strategies of the variables.CASE SUMMARY This report presents a case of a long-term,rare,and giant sialolithiasis within the submandibular gland parenchyma for 30 years in an older adult.Our patient presented with painless right submandibular swelling.Computed tomography revealed a calcified mass measuring 35 mm×20 mm within the right submandibular gland.In this case,the infection and fibrosis of the affected gland and size of the stone did not provide us with other alternatives except for the excision of the involved gland.Thus,right submandibular sialoadenectomy was performed via the transcervical approach.After the surgery,the patient recovered without any complaints,side effects,or complications.CONCLUSION Tailored management is important for preserving gland function,maintaining low risk,and reducing patient discomfort.

关 键 词：Huge sialolithiasis Submandibular gland Treatment COMPLICATIONS Case report 

分 类 号：R781.7[医药卫生—口腔医学]