Case Report

Sialolithotomy and sialodochoplasty of giant sialolith in the submandibular duct: a case report

Barra P. Novendra , Rahardjo Rahardjo, Poerwati S. Rahajoe

Barra P. Novendra
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia. Email: barra.novendra@gmail.com

Rahardjo Rahardjo
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia

Poerwati S. Rahajoe
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
Online First: August 01, 2018 | Cite this Article
Novendra, B., Rahardjo, R., Rahajoe, P. 2018. Sialolithotomy and sialodochoplasty of giant sialolith in the submandibular duct: a case report. Journal of Dentomaxillofacial Science 3(2): 119-122. DOI:10.15562/jdmfs.v3i2.712


Objective: To report a case of giant sialolith in the submandibular
duct in which sialolithotomy and sialodochoplasty procedures were
performed with an intraoral and extraoral approach.

Method: A 47 years old male patient reported a complaint of swelling
in the left lower jaw which triggered discomfort, particularly when
eating. The extraoral examination found 50 mm sized swelling that
was firm in consistency, not painful and showed the same colour as
the tissue in the left submandibular region. Meanwhile, the intraoral
examination indicated a 5 mm sized whitish firm mass on the mucosal
floor of the mouth. The panoramic radiograph examination showed
a multiple radiopaque mass in the left mandible with a well-defined
border. A multiple mass was found by the CT-scan examination in
the left submandibular region and floor of the mouth. Sialographic
examination described a total obstruction in the left submandibular
duct and allegedly chronic inflammation-induced sialolith.

Results: Sialolithotomy was done with an intraoral and extraoral
approach after which sialodochoplasty was also performed to insert
the pediatric feeding tube no. 8 aiming to retain the shape and
function of the submandibular duct.

Conclusion: Treating giant sialolith with sialolithotomy followed
by sialodochoplasty has given a satisfactory result without any
complication and recurrence.

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