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Microscopic examination revealed fragments of salivary gland lobules showing excretory duct containing granular basophilic material and mineralised areas with a concentric deposition pattern compatible with a sialolith. In other areas, one can observe stroma composed of dense connective tissue exhibiting intense lymphoplasmacytic inflammatory infiltrate and congested blood vessels.
Giant submandibular sialolith of remarkable size in the comma area of Wharton's duct: a case report.
Since noninvasive removal can be performed as an outpatient procedure, it is becoming preferred as an initial modality for the management of sialoliths.
Submandibular gland sialolith of unusual shape and size.
A submandibular sialolith of unusual size: A case report.
Palpation, radiographs, fluoroscopy, and biopsy confirmed a diagnosis of multiple sialoceles and sialoliths throughout the cervical region.
Plain radiographs were obtained in standard antero-posterior and lateral-oblique projections to detect radiopaque sialoliths. (1,5,6)
Micromorphology of sialoliths in submandibular salivary gland: A scanning electron microscope and X-ray diffraction analysis.
However, parotid sialoliths may similarly appear on imaging as hyperdense structures in the facial region.
Once the sialolith was located, it was distally fixed with a suture in order to prevent any movement along the duct during the procedure.
On gross inspection, the giant sialolith measured 35 x 35 mm; it was dark brown, its surface was smooth, and it weighed 16 g.
Cases of plunging ranula formation have also been reported secondary to surgical procedures for sialolith removal, duct transposition and implant placement.
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