Cases reported "Salivary Gland Calculi"

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1/10. shock wave lithotripsy of a parotid duct calculus.

    Extracorporeal shock wave lithotripsy, a relatively new non-invasive method of treating salivary gland calculi, is rarely used in UK hospitals. We present a case of parotid duct calculus treated successfully by lithotripsy in a United Kingdom (UK) district General Hospital.
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2/10. Sialolithiasis of an accessory parotid gland.

    We report a case of sialolithiasis of an accessory parotid gland in the cheek demonstrated by computed tomography and sialography. The accessory parotid gland was located anterolateral to the masseter muscle and was isolated from the main parotid gland. The calculus developed from this accessory parotid gland, and the main parotid gland was free of sialolithiasis and inflammation. To our knowledge, this is the first report concerning sialolithiasis in an accessory parotid gland. The calculus was removed without facial nerve injury or salivary fistula via a peroral approach.
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3/10. Giant twin sialoliths presenting with acute cellulitis: a case report.

    Sialolithiasis is a process of unknown aetiology in which calculus concretions form in the salivary gland ducts and tissue. It may occur at any age but it is most common in middle-aged adults. A case is presented of the occurrence of double giant sialoliths in the left Wharton's duct in a 16-year-old boy. The clinical symptoms and signs were somewhat atypical and included acute suppurative cellulitis in the floor of the mouth plus localized periodontitis involving 36. Under a local anaesthetic the stones were surgically extracted and healing was uneventful. Proper interpretation of symptoms and thoughtful investigation for localization of salivary stones is emphasized.
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4/10. Migrating salivary stones: report of three cases.

    patients with salivary calculi are normally managed by removal of the calculus or, if necessary, the affected gland. If it is left untreated, a stone may migrate into the adjacent tissues. We present three patients in whom salivary calculi tracked to the surface of the skin. Two were removed under local anaesthetic, and the third patient was lost to follow up.
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5/10. Unusual asymptomatic giant sialolith of the submandibular gland: a clinical report.

    This report presents an unusual case of asymptomatic sialolith of the submandibular gland. A 61-year-old man was referred to our department for multiple extractions. An ortopantomographic exam revealed the existence of a large radiopacity in the right premolar mandibular region. The patient was completely asymptomatic and no episodes of pain and swelling had occurred in the previous years. ultrasonography and clinical examination confirmed the diagnosis of sialolithiasis of the submandibular duct. The calculus was removed trans-orally in local anaesthesia. The sialolith measured 22 mm and it was mainly constituted by phosphate, calcium and smaller amounts of magnesium. The bacteriological exam revealed the presence of streptococcus mitis, Streptococcus Salivarius and non-pathogenic Neisserie. Postoperative course was uneventful. Even a sialolith of significant dimensions may not be symptomatic. Nevertheless, the likelihood of future complications may constitute an indication for surgical removal of abnormal asymptomatic sialoliths.
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6/10. A case of a salivary calculus containing a limb of a shrimp--the structural analysis.

    This study describes a case of a salivary calculus which contained the limb of a shrimp. Pathological findings seemed to show a stratiform structure of calculus around the foreign body at the center. However, when the cut surface of the salivary calculus was examined by a scanning electron microscope, it was suspected that the origin of the calculus was in another area next to the foreign body. As a result, it became clear that the foreign body was not the core, but that the core of the salivary calculus was somewhere else, and that the earlier foreign body theory needed to be reconsidered. As to the foreign body, the patient remembered eating a shrimp, which was probably the foreign body in question. The findings obtained from the analysis of other shrimp limb specimens were structurally similar. Therefore the suspicion that the foreign body was indeed the limb of a shrimp was increased.
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7/10. Giant salivary calculi: an orocervical fistula caused by a submandibular gland calculus.

    Large calculi of the salivary glands are rare. They may go undetected for many years. The authors report three cases of giant submandibular gland calculi. In one patient, the calculus was an incidental finding. In all patients, the mass was in the substance of the gland; in one, the configuration of the mass was unusual and it had eroded through the floor of the buccal cavity forming an orocervical fistula (the first such report) and in another the mass occupied a small portion of Wharton's duct. The histopathologic findings in all three cases were of nonspecific chronic inflammation. All the patients made a smooth recovery and had no complaints at follow-up.
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8/10. Spontaneous passage of a submandibular salivary calculus in a child.

    Inflammatory salivary disease in childhood is an infrequent clinical entity. That associated with sialolithiasis is rare. We report a case of a child with spontaneous passage of a submandibular calculus. We believe she represents the youngest patient documented to demonstrate the phenomenon.
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9/10. Unusual elimination of a salivary calculus. A case report.

    salivary calculi are frequently formed in the submandibular duct. The most common sites are where the duct turns round the distal edge of the mylohyoid, where the duct crosses the lingual nerve, and just distal to the duct orifice. Untreated calculi can cause obstruction and glandular atrophy, and then may exfoliate through the floor of the mouth. An unusual case of cutaneous exfoliation of a salivary gland stone is presented. The importance of early diagnosis and treatment of sialolithiasis are discussed.
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10/10. A megalith of the parotid salivary gland.

    We present a rare case of a giant intra-parotid calculus in a 64-year-old man with recurrent parotitis. The literature is also reviewed.
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