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1/11. Submandibular sialolithiasis: a case report.

    Sialolithiasis, salivary gland calculus, is a relatively uncommon condition, which may present as a painful, recurrent swelling of the affected salivary gland or duct. It can also be associated with a bacterial infection, as a result of the physical obstruction of salivary flow. This report describes the treatment of a patient with an unusually large sialolith in the submandibular duct. The patient presented with an apparent dento-alveolar abscess.
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ranking = 1
keywords = calculus
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2/11. 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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keywords = calculus
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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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keywords = calculus
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4/11. 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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ranking = 508.21186121937
keywords = salivary calculus, calculus
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5/11. 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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ranking = 5
keywords = calculus
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6/11. Recurrent calculus formation following removal of the submandibular salivary gland.

    Three cases are presented in which calculi appear to have reformed in the submandibular duct many years after the total removal of the submandibular gland. The basis for this is presumed to be the existence of communications between the sublingual glandular complex and the remaining submandibular duct.
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ranking = 4
keywords = calculus
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7/11. 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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ranking = 290.26392069678
keywords = salivary calculus, calculus
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8/11. The gigantiform salivary calculus.

    The size of salivary calculi may range from small particles to large concrements of several centimetres. One case of a gigantiform salivary calculus located in the Wharton duct of a 48-year-old man is presented. After surgical removal of the 3.6 cm long concrement, it was split into 4 parts. The different parts were used for routine histological studies, production of microradiographs of ground sections and for scanning electron microscopy. Decalcified sections disclosed a specimen made of a homogeneous central nucleus and a peripheral lamellation. The same morphological picture was seen on the microradiographs, where the nucleus showed dense mineralization, and the peripheral part alternating rings of high and low mineral content. Microorganisms, mostly thread-like organisms, were found throughout the entire calculus in specially stained sections. Scanning electron microscopy confirmed the histologic and microradiographic findings. The presence of microorganisms also in the nucleus of the calculus seems to be one important aetiological factor favouring the formation of this gigantiform concrement.
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ranking = 363.57990087098
keywords = salivary calculus, calculus
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9/11. Removal of a submandibular duct calculus with a vascular snare.

    Conventional management of calculi in the distal portion of the submandibular duct involves surgery under general anaesthesia. We report here a patient whose calculus was successfully removed non-surgically as an outpatient with a vascular snare.
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ranking = 5
keywords = calculus
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10/11. Submandibular sialolithiasis with concurrent sialoadenitis in a child.

    Sialolithiasis is a relatively common condition in adults, but it is rarely observed in children. We report a case in a 7-year-old child with a sialolith in the anterior right Wharton's duct resulting in a submandibular sialoadenitis. Under local anesthesia the calculus was removed by means of a sialodochotomy. Post-operative recovery was uneventful and follow-up examinations showed recovery of the function of the affected gland.
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ranking = 1
keywords = calculus
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