Abstract

SURGICAL MANAGEMENT OF SALIVARY GLAND STONES

*Dr. Hind Abdullah Naji and Dr. Ihab Abdulraheem Abdulazeez Alsaeage

ABSTRACT

Calcified structures develop within salivary ductal system because of deposition of calcium salts around a nidus of debris which includes mucus, bacteria, ductal epithelial cells or foreign bodies. It mainly composed of calcium phosphate, hyroxyapatite, magnesium, potassium and ammonia.[1] Two treatment modalities are follow to treat the sialolithiasis. Conservative management used to treat small sialolith of major glands which include gentle massage. Large sialolith is treated by surgical management. In this case sialolith was located in submandibular gland which is most susceptible to calculus formation as submandibular gland saliva contains twice the amount of calcium and has more alkaline pH than that produced from other glands.[2] Incidence of sublingual gland sialolithiasis is very rare with incidence of 7%.[3] It was associated with pus discharge because of secondary infection.

Keywords: Large sialolith is treated by surgical management.