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1/11. Sialolith of the submandibular gland with bone formation.

    An unusual case of sialolith with bone formation, occurring in the submandibular gland of a 33-year-old woman, is reported. In addition to the irregularly laminated structure of sialolith, sparsely scattered foci of bone tissue were found. Some of them were mature, lamellar bone with lacunae containing osteocytes, endosteum and a bone marrow-like element. Others were immature bone associated with or without multinucleated giant cells. Foci of bone tissue were in contact with caliculi or fibrous tissue, and no epithelial component was seen around them. These observations suggest that bone formation in the present case may be in the nature of pathological ossification, and that in the earlier stage, the bone that is deposited is woven and is replaced through successive remodeling cycles by lamellar bone. This is the first case of sialolith with bone formation, although sialolithiasis is a common disease of the salivary glands.
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2/11. A case of giant sialolith of the submandibular salivary gland.

    Sialolithiasis is the most common disease of the salivary glands. This report describes the case of a patient who had an unusually large submandibular gland sialolith that was completely encased in the glandular substance. The author describes the management of this patient and reviews the literature.
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3/11. 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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4/11. A submandibular sialolith of unusual size: a case report.

    In this article, one of the largest sialoliths in the literature is reported. The giant sialolith was completely inside the gland and destruction of the gland was evident. An extra-oral extirpation of the sialolith with the gland was performed.
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5/11. Temporal arteritis presenting as a submandibular swelling.

    Temporal arteritis (giant cell arteritis) is a disease of protean manifestation. A case which presented as a submandibular swelling is reported.
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6/11. Giant submandibular calculus. A case report.

    A case of giant mandibular calculus, 6.5 X 5.5 cm, is presented. The management of this condition is reviewed and an explanation offered for the occurrence of these calculi.
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7/11. A giant submandibular sialolith: management and complications.

    A case of a 55-year-old man with an unusually large asymptomatic stone (3.5 x 2.0 x 2.0 cm) lying in the Wharton's duct is presented.
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8/11. sarcoidosis diagnosed on fine-needle aspiration cytology of salivary glands: a report of three cases.

    Three female patients, two presenting with bilateral parotid gland enlargement and one with bilateral submandibular gland enlargement, were subjected to fine-needle aspiration cytology (FNAC). Smears showed noncaseating epithelioid cell granulomas with or without giant cells and salivary gland acini with varying degrees of degenerative changes. After excluding other granulomatous lesions, sarcoidosis was suggested and was subsequently proved in all three cases. FNAC, therefore, may be considered a useful diagnostic modality in cases of sarcoidosis presenting primarily with head and neck involvement.
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9/11. Large calculi of the submandibular salivary glands.

    salivary calculi occur in the submandibular and parotid glands, and their ducts, and occasionally reach a large size. However, little information is available on the composition of these giant stones. 2 cases are reported of unusually large calculi of the submandibular salivary glands. The glands were excised, and the results of chemical and infrared analysis of the calculi are presented.
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10/11. Giant sialolithiasis appearing as odontogenic infection.

    The dentist frequently is called on to diagnose pathoses of the head and neck region. Two reports of giant submandibular sialoliths that were originally diagnosed as submandibular space odontogenic infections are presented. Careful history, and physical and radiographic examinations are necessary to assure proper diagnosis and treatment of this condition.
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