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

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


Objective: To report a case of giant sialolith in the submandibularduct in which sialolithotomy and sialodochoplasty procedures wereperformed with an intraoral and extraoral approach.Method: A 47 years old male patient reported a complaint of swellingin the left lower jaw which triggered discomfort, particularly wheneating. The extraoral examination found 50 mm sized swelling thatwas firm in consistency, not painful and showed the same colour asthe tissue in the left submandibular region. Meanwhile, the intraoralexamination indicated a 5 mm sized whitish firm mass on the mucosalfloor of the mouth. The panoramic radiograph examination showeda multiple radiopaque mass in the left mandible with a well-definedborder. A multiple mass was found by the CT-scan examination inthe left submandibular region and floor of the mouth. Sialographicexamination described a total obstruction in the left submandibularduct and allegedly chronic inflammation-induced sialolith.Results: Sialolithotomy was done with an intraoral and extraoralapproach after which sialodochoplasty was also performed to insertthe pediatric feeding tube no. 8 aiming to retain the shape andfunction of the submandibular duct.Conclusion: Treating giant sialolith with sialolithotomy followedby sialodochoplasty has given a satisfactory result without anycomplication and recurrence.


  1. Carlson ER, Ord RA. Textbook and color atlas of salivary
  2. gland pathology-diagnosis and management. Sialolithiasis.
  3. Wiley- Blackwell; 2008. p. 109-122.
  4. Williams MF. Sialolithiasis. Otolaryngol Clin North Am
  5. ;32: 819.
  6. Rai M, Burman R. Giant submandibular sialolith of
  7. remarkable size in the comma area of Wharton’s duct: a
  8. case report. J Oral Maxillofac Surg 2009;67: 1329-1332.
  9. Pasquale C, Francesco O, Raffaele M, et al. Extracorporeal
  10. lithotripsy for salivary calculi: a long term clinical
  11. experience. Laryngoscope 2004;114: 1069-1073.
  12. Manchil RD, Kannan K. A giant sialolith in wharton’s duct.
  13. J Indian Acad Oral Med Radiol 2013;25: 326-329.
  14. Paul D, Chauhan MS. Salivary megalith with a sialocutanousand
  15. sialo-oral fistula: a case report. Eur Arch
  16. Otorhinolaryngol 1995;109: 767.
  17. Fefar AD, Jivani PS, Mehta MR. A huge salivary calculi of
  18. the submandibular gland: a case report with the review of
  19. literature. J Med Res 2015;1: 5-7.
  20. Han PS, Kim Y, Yoo TS, et al. Sialodochoplasty stents: cost
  21. analysis and outcomes. J Oral & Maxillofac Surg 2017;75:
  22. -542.
  23. Su CH, Lee KS, Tseng TM. Post-sialendoscopy ductoplasty
  24. by salivary duct stent placements. Eur Arch
  25. Otorhinolaryngol 2016;273: 189-195.
  26. Nurwahida, Hardianto A, Rizki KA. Multiple sialolithiasis
  27. of submandibular gland: a case report. J Dentomaxillofac
  28. Sci 2017;2: 129-132.

How to Cite

Novendra, B. P., Rahardjo, R., & Rahajoe, P. S. (2018). Sialolithotomy and sialodochoplasty of giant sialolith in the submandibular duct: a case report. Journal of Dentomaxillofacial Science, 3(2), 119–122.




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Barra P. Novendra
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JDMFS Journal

Rahardjo Rahardjo
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Poerwati S. Rahajoe
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JDMFS Journal