KMID : 1130320130560100451
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Korean Journal of Pediatrics 2013 Volume.56 No. 10 p.451 ~ p.455
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Parotid Sialolithiasis in Childhood
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Kim Do-Hoon
Song Woo-Sun Kim Yeong-Jin Kim Won-Duck
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Abstract
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Sialolithiasis is caused by the obstruction of a salivary gland or its excretory duct by the formation of calcareous concretions or sialoliths; this results in salivary ectasia and provokes subsequent dilation of the salivary gland. Sialolithiasis is relatively common, accounting for 30% of salivary diseases; however, it is rarely observed in childhood. This case report describes a 2-year-old male patient who complained of a painful swelling over the right cheek, and presented with palpable stones and pus discharge from the orifice of the right Stensen¡¯s duct. Computerized tomography of the neck confirmed the diagnosis, and the patient received intravenous empiric antibiotics combined with intraoral sialolithotomy. We also provide a review of the spectrum of concepts regarding the pathogenesis, diagnosis, and treatment of sialolithiasis.
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KEYWORD
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Salivary gland calculi, Parotid gland, Salivary duct calculi, Parotitis, Child
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