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KMID : 0358920090360010114
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Journal of the Korean Academy of Pedodontics
2009 Volume.36 No. 1 p.114 ~ p.118
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SIALOLITHIASIS ON THE MOUTH FLOOR IN A CHILD
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Lee Hyo-Seol
Choi Byung-Jai
Choi Hyung-Jun
Kim Seong-Oh
Son Heung-Kyu
Song Je-Seon
Lee Jae-Ho
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Abstract
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Sialolithiasis is the formation of calcific concretions within the ductal system of major or minor salivary glands. The submandibular gland is most involved because of its high viscosity of the saliva and the long, curved duct. It may occur at any age but, it is most common in middle-aged adults and rare in childhood. Clinical symptoms in sialolithiasis are variable but, swelling is the most common, followed by the pain. Clinical examination and radiographic examination(panoramic and mandibular occlusal radiographs, sialography, intraoral-, extraoral- ultrasound, CT scan, MRI and sialoendoscopy) can help to confirm a diagnosis and localize a stone. The treatment is surgical intervention, either removal of the sialolith or sialoadenectomy. However, non-invasive techniques including shock-wave lithotripsy, laser and endoscopic treatment used in selected cases. A 5-Year-old girl referred from private practice for evaluation of a yellowish mass on the floor of the mouth. She complained that it had became three times bigger than four months ago when it was found for the first time and she had some pain on submandibular gland area occasionally. On physical examination, a firm and yellowish mass could be seen at the orifice of the submandibular duct. Diagnosis is the submandibular sialolithiasis in the anterior Wharton`s duct. Under local anesthesia, stone was removed.
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KEYWORD
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Sialolithiasis, Child, Submandibular gland duct
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