Oskar Eduardo Prada Vidarte; Mario Alberto Teliz Meneses; Marco Xavier Vizuete Bolaños; James Philippe Jerez Robalino; Edgar Patricio Olmedo Bastidas & Antonio Raciel Ramírez Galarza
Chronic sclerosing sialadenitis can range from focal sialadenitis to complete cirrhosis of the gland. It appears between 40 and 70 years of age and mainly affects the submandibular gland. It is associated with sialoliths and nonspecific infectious agents. The most common cause of sialolithiasis is the formation of macroscopically visible stones in a salivary gland or its excretory duct, of which 80 % to 90 % come from the submandibular gland. This predilection isprobably due to the fact that their excretory duct is longer, wider and has an almost vertical angle against gravity, thus contributing to salivary stasis. In addition, the semimucous secretion of it is more viscous. The main location of the stones in the submandibular duct is the hilar region with 57 %. The typical symptomatology of sialolithiasis is colic with swelling of the gland and postprandial pain. We report the case of a 55-year-old male patient, who was admitted to the Oral and Maxillofacial Surgery Service of the Hospital General Balbuena in Mexico City due to an increase in volume in the left submandibular region that was hard and painful on palpation of 15 days of evolution, accompanied by increased temperature in the area compatible with an abscess. Imaging studies report a 2.0 x 1.7 x 1.0 cm sialolith in the submandibular duct hilar region. Due to its location and size, the ideal treatment in these cases is excision of the gland together with the stone previous drainage of the abscess and initiation of dual antibiotic therapy.
KEY WORDS: submandibular gland, sialadenitis, salivary gland calculi, salivary ducts.
How to cite this article
PRADA, V. O. E.; TELIZ, M. M. A.; VIZUETE, B. M. X.; JEREZ, R. J. P.; OLMEDO, B. E. P. & RAMÍREZ, G. A. R. Submandibular gland excision due to chronic sclerosing sialadenitis associated with sialolith in submandibular duct. Int. J. Odontostomat., 17(3):335-345, 2023.