• Joana Ramos-Jorge Universidade Federal dos Vales do Jequitinhonha e Mucuri
  • Thiago Motta-Rêgo Universidade Federal dos Vales do Jequitinhonha e Mucuri
  • Cássio Roberto Rocha dos Santos Universidade Federal dos Vales do Jequitinhonha e Mucuri


Sialolithiasis, Submandibular gland, Sialoadenitis


The sialoliths are calcified masses that develop in the parenchyma of the salivary glands or in their ducts. Sialolithiasis may occur in any major salivary gland, but it is most common in the submandibular gland. 80% of sialolith in the submandibular gland is due to the anatomy of this gland and its duct; and, the presence of siaolith is most frequent in the duct. The giant calculi (>15mm) are considered rare and few cases have been reported. These calculi need surgical removal. Usually, it is performed extraorally, under general anesthesia. Sialolithiasis and malignancies coexistence was reported. This is the reason why a precocious diagnosis is very important, as well as pacient´s proservation for a long time. This study shows a case of sialolith bigger than 15mm, supposedly located in the parenchyma of the submandibular gland, surgically and intraorally removed.


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Lustman J, Regev E, Melamed Y. Sioalolithiasis: a survey on 245 patients and review of the literatura. Int J Oral Maxillofac Surg. 1990; 19: 135-138.

Anneroth G, Eneroth CM, Isacsson G. et al. Ultrastructure of salivary calculi. Scand J Dent Res. 1978b; 86:182.

Takeda Y, Oikawa Y, Satoh M et al. Sialolith of the submandibular gland with bone formation. Path International. 2003; 53: 309.

McGurk M, Escudier M, Brown J. Modern management of salivary calculi. Br J Surg. 2005; 92:107-112,

Nahlieli O, Eliav E, Hasson O, Zagury A, Baruchin AM. Pediatric sialolithiasis. Oral Surg Oral Méd Oral Pathol Oral Radial Endod. 2000; 90:709-712.

Bodner L. Parotid Sialolithiasis. J Laryngol Otol. 1999;1 13:266-267.

Graziani F, Vano M, Cei S, Tartaro G, Mario G. Unusual asymptomatic giant sialolith of the submandibular gland: a clinicai report. J Craniofac Surg. 2006; 17: 549-552.

Bourjat P. What's useful in maxillo-facial surgery imaging : advantages and disvantages of examination modalities (first pari). Rev. Stomatol Chir Maxillofac. 2006; 107:86-92.

Hong KH, Yang YS. Sialolithiasis in the sublingual gland. J Laryngol Otol. 2003; 117:905-907.

Ottaviani F, Galli A, Lucia MB, Ventura G. Bilateral parotid sialolithiasis in a patient with acquired immunodeficiency syndrome and immunoglobulin G multiple myeloma. Oral Surg Oral Med Oral Pathol Oral Radio! Endod. 1997; 83:552-554.

Dulguerov P, Marchai F, Lehmann W. Postparotidectomy facial nerve paralysis: possible etiologic factors and results with routine facial nerve monitoring. Laryngoscope. 1999;109:754-762.

Bodner L. Giant salivary gland calculi: Diagnostic imaging and surgical management. Oral Surg Oral Med Oral Pathol. 2002; 94: 320-323.

Torres-Lagares D, Barranco-Piedras S, Serrera-Figallo MA, Hita-Iglesias P, Martinez-Sahuquillo-Márquez A, Gutiérrez-Pérez JL. Parotid Sialolithiasis in Stensen's duct. Med Oral Patol Oral Cir Bucal. 2006; 11:80-84.

Mc Gurk M, Escudier MP, Thomas BL, Brown JE. A revolution in the management of obstructive salivary gland disease. Dent Up date. 2006; 33: 28-30.

Andretta M, Tregnaghi A, Prosenikliev V, Staffieri A. Current opinions in sialolithiasis diagnosis and treatment. Acta Otorhinolaryngor Ital. 2005; 25: 145-149.

Williams MF. Sialolithiasis. Otolaryngol Clin North Am. 1999; 32: 819-834.

Batzakakis D, Apostolopouos K, Bardanis I. A case report of coexistence of a sialolith and an adenoid cystic carcinoma in the submandibular gland. Med Oral Pato Cir Bucal. 2006; 11:286-288.

Ferreira EU. Sialolitíase da glândula submandibular - relato de um caso. Rev. Inst. Ciên Saúde. 2001; 2:141-143.

Som M, Brandwein M. Salivary glands. In: Som PM, Curtiu HD. Head and neck imaging. 3ed. St Luis, Mosby-Year Book. 1996; 823-914. 20. Haring JJ. Diagnosing salivary stones. JADA. 1991; 122:75-6.

Alves CA. et al. Sialolitíase: relato de caso. Revista de Odontologia da Universidade de Santo Amaro. 2000; 2:62-4.

Jager L. Sialolithiasis: MR sialography of the submandibular duct-na alternative to conventional sialography and US? Radiology. 2000; 216:665-671.

Becker M. Sialolithiasis and salivary ductal stenosis: diagnostic accuracy of MR sialography with a three-dimensional extended-phase conjugate-symmetry rapid spin-echo sequence. Radiology. 2000; 217: 347-358.

Tommasi AF. Diagnóstico em Patologia Bucal. São Paulo: Pancast, 3 ed., 600p.2002.

Neville BW. Patologia Oral e Maxilofacial. Rio de Janeiro: Guanabara Koogan, 2ed., 820p. 2004.



How to Cite

Ramos-Jorge, J., Motta-Rêgo, T., & Santos, C. R. R. dos. (2016). SIALOLITHIASIS IN THE SUBMANDIBULAR GLAND: A CLINICAL REPORT. Arquivos Em Odontologia, 42(2). Retrieved from




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