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Original article

Giant sialolith after submandibulectomy

Giant sialolith after submandibulectomy

Aryť Weinberg1,&, Andreas Eberhard Albers2

 

1Prosper-Hospital, Department of Otorhinolaryngology, Head and Neck Surgery, Recklinghausen, Germany, 2Charitť Universitštsmedizin Berlin, Department of Otorhinolaryngology, Head and Neck Surgery, Campus Benjamin Franklin, Berlin, Germany

 

 

&Corresponding author
Aryť Weinberg, Prosper-Hospital, Department of Otorhinolaryngology, Head and Neck Surgery, Recklinghausen, Germany

 

 

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A 59-year-old Patient presented with cerivical lymphnode and a submandibular swelling on the right side of unknown cause that was not responsive to antibiotic treatment. 16 years ago a submandibulectomy was performed on the right side, nevertheless submandibular swellings had occurred repeatedly. Clinical examination showed a right-sided cervical swelling in the submandibular region. The floor of the mouth was indurated and pus could be squeezed out of the whartonís duct. A computed tomography of the neck revealed a calcified structure of 3.8 x 1.3 cm located anterior of the former submandibular region (A). Therapeutically the residual Wharton duct containing the sialolith was removed (B). Giant sialoliths after submandibulectomy are extremely rare. If parts of the Wharton duct remain, sialolithiasis may occur spontaneously or become evident after growth due to further calcification. The treatment of choice consists of the excision of the residual duct with the sialolith and any remaining gland tissue.

 

 

Figure 1: A) ct-scan showing the giant sialolith; B) wharton duct and giant sialolith