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Potential airway compromise secondary to impacted Wharton's duct calculus: a noteworthy phenomenon

Published online by Cambridge University Press:  08 July 2015

M Van ,
R Gohil  and
Q Gardiner
M Van
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Ninewells Hospital, Dundee, Scotland, UK
R Gohil*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Ninewells Hospital, Dundee, Scotland, UK
Q Gardiner
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Ninewells Hospital, Dundee, Scotland, UK
*
Address for correspondence: Dr R Gohil, Department of Otorhinolaryngology, Head and Neck Surgery, Ninewells Hospital, Dundee DD1 9SY, Scotland, UK E-mail: [email protected]
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Abstract

Objectives:

This case report describes a patient who suffered an acute, severe complication of unilateral submandibular sialolithiasis, the disease process and management of these patients.

Case report:

A 70-year-old woman was under investigation for a recurrent, painful right submandibular swelling and subsequently presented with an acute exacerbation. She exhibited symptoms of acute submandibular sialadenitis, and also reported breathing difficulty and a change in voice quality. Computed tomography imaging showed that this was caused by a submandibular gland duct sialolith, with inflammation extending to the ipsilateral supraglottis. She was treated medically and the stone was removed when the inflammation had stabilised.

Conclusion:

This case highlights the need to thoroughly assess patients with neck swellings, especially when symptoms are atypical, to avoid life-threatening complications.

Keywords

Diagnoses and ExaminationsAirway ObstructionSubmandibular Duct CalculiSialolithiasisCT Scan, X-ray
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 7 , July 2015 , pp. 721 - 724
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Khilanani, U, Khatib, R. Acute epiglottitis in adults. Am J Med Sci 1984;287:65–70CrossRefGoogle ScholarPubMed
2Carey, MJ. Epiglottitis in adults. Am J Emerg Med 1996;14:421–4CrossRefGoogle ScholarPubMed
3Meulemans, J, Hens, G, Vander Poorten, V. Current management of obstructive sialadenitis. Journal of ENT Masterclass 2012;5:65–9Google Scholar
4Marchal, F, Dulguerov, P, Becker, M, Barki, G, Disant, F, Lehman, W. Specificity of parotid sialendoscopy. Laryngoscope 2001;111:264–71CrossRefGoogle ScholarPubMed
5Lustmann, J, Regev, E, Melamed, Y. Sialolithiasis. A survey on 245 patients and a review of the literature. Int J Oral Maxillofac Surg 1990;19:135–8CrossRefGoogle Scholar
6Bodner, L. Salivary gland calculi: diagnostic imaging and surgical management. Compendium 1993;14:572,574–6,588 passim; quiz 586Google ScholarPubMed
7Harrison, JD. Causes, natural history and incidence of salivary stones and obstructions. Otolaryngol Clin North Am 2009;42:927–47CrossRefGoogle ScholarPubMed
8Capaccio, P, Torretta, S, Ottavian, F, Sambataro, G, Pignataro, L. Modern management of obstructive salivary diseases. Acta Otorhinolaryngol Ital 2007;27:161–72Google ScholarPubMed
9Marchal, F, Kurt, AM, Dulguerov, P, Becker, M, Oedman, M, Lehmann, W. Histopathology of submandibular glands removed for Sialolithiasis. Ann Otol Rhinol Laryngol 2001;110:464–9CrossRefGoogle ScholarPubMed
10Rana, RS, Moonis, G. Head and neck infection and inflammation. Radiol Clin North Am 2011;49:165–82CrossRefGoogle ScholarPubMed
11von Ludwig, WF. Über eine in neuerer Zeit wiederholt hier vorgekommene Form von Halsentzündung. Medicinisches Correspondenzblatt des Württembergischen ärztlichen Vereins 1836;6:21–5Google Scholar
12Bansal, A, Miskoff, J, Lis, RJ. Otolaryngologic critical care. Crit Care Clin 2003;19:55–72CrossRefGoogle ScholarPubMed
13Ellis, H, Mahadevan, V. Clinical Anatomy: Applied Anatomy for Students and Junior Doctors. 13th edn.Chichester, UK: John Wiley & Sons, 2013Google Scholar