Giant sialolith after submandibulectomy
Aryť Weinberg, Andreas Eberhard Albers
The Pan African Medical Journal. ;25:228. doi:10.11604/pamj..25.228.10717

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Images in clinical medicine

Giant sialolith after submandibulectomy

Aryé Weinberg, Andreas Albers
Pan Afr Med J. 2016; 25:228. doi:10.11604/pamj.2016.25.228.10717. Published 07 Dec 2016



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.


Corresponding author:
Aryť Weinberg, Prosper-Hospital, Department of Otorhinolaryngology, Head and Neck Surgery, Recklinghausen, Germany
aryeweinberg@gmail.com

©Aryť Weinberg et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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