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Sialolithiasis in a residual Wharton's duct after excision of a submandibular salivary gland

Published online by Cambridge University Press:  01 November 2006

M R Markiewicz ,
J E Margarone 3rd ,
J L Tapia  and
A Aguirre
M R Markiewicz
Affiliation:
Student, School of Dental Medicine, University at Buffalo, Buffalo, NY, USA
J E Margarone 3rd
Affiliation:
Harvard School of Public Health, Boston, MA, USA
J L Tapia
Affiliation:
Oral and Maxillofacial Surgery, School of Dental Medicine, University at Buffalo, Buffalo, NY, USA
A Aguirre
Affiliation:
Oral Diagnostic Sciences, School of Dental Medicine, University at Buffalo, Buffalo, NY, USA
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Abstract

Treatment of salivary stones includes both surgical and non-surgical techniques. Surgical approaches range from excision of the sialolith, for those near the duct orifice, to removal of the affected salivary gland and its associated duct, for stones near the hilum of the gland. We present a case of two sialoliths triggering an acute infection in a residual Wharton's duct, 12 years after the removal of the associated submandibular gland. Excision of the sialoliths and treatment of the infected duct via sialodochoplasty was successfully performed in this patient. If the Wharton's duct is not removed with the associated submandibular gland, the potential for infection and continuous growth of dormant calcifications exists. We also address the aetiology, pathogenesis, and management of patients with sialolithiasis in the absence of a major salivary gland.

Keywords

Submandibular GlandSalivary DuctsCalculus
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 2 , February 2007 , pp. 182 - 185
Copyright
2006 JLO (1984) Limited

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