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1 results

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

  • M Van, R Gohil, Q Gardiner
  • Journal:
    The Journal of Laryngology & Otology / Volume 129 / Issue 7 / July 2015
    Published online by Cambridge University Press:
    08 July 2015, pp. 721-724
    Print publication:
    July 2015
  • 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.