Summary

• Sialoliths are calcium phosphate stones that develop within the ductal system of salivary glands.

• Sialolithiasis is thought to affect approximately 1% of the population based on autopsy studies.

• It has been estimated to represent more than 50% of major salivary gland disease and is the most common cause of acute and chronic salivary gland infections.

• Approximately 85% of sialolithiasis occurs in the submandibular gland, 10% in the parotid gland, 5% in the sublingual gland, and the incidence of this pathology is rare in the sublingual gland and minor salivary glands.

• 80% of submandibular sialoliths are radio-opaque, while 40% of sialoliths of the parotid gland are radio-opaque.

• Systemic disorders of calcium metabolism do not seem to represent predisposing factors to sialolithiasis. The one exception to this rule is gout, where a higher incidence of uric acid stones has been observed.

• 75-85% of submandibular stones are located in the duct, while parotid stones are located

Figure 5.18g. A 6-month postoperative evaluation showed acceptable healing. Reprinted from: Berry BL. Sialadenitis and sialolithiasis. Diagnosis and management. In: The Comprehensive Management of Salivary Gland Pathology, Carlson ER (ed), Oral and Maxillofacial Surgery Clinics of North America, WB Saunders, Philadelphia, 479-503.

Figure 5.18g. A 6-month postoperative evaluation showed acceptable healing. Reprinted from: Berry BL. Sialadenitis and sialolithiasis. Diagnosis and management. In: The Comprehensive Management of Salivary Gland Pathology, Carlson ER (ed), Oral and Maxillofacial Surgery Clinics of North America, WB Saunders, Philadelphia, 479-503.

in the hilum or gland parenchyma in at least half of cases.

• Several "great imitators" of submandibular sialolithiasis exist, including scrofula, phle-boliths, osteomas, and occasionally carotid plaques.

• Numerous techniques are available to treat sialolithiasis including surgical sialolithotomy with or without sialodochoplasty, sialoendos-copy with sialolithotomy, intracorporeal or extracorporeal lithotripsy, or gland removal.

Was this article helpful?

0 0
10 Ways To Fight Off Cancer

10 Ways To Fight Off Cancer

Learning About 10 Ways Fight Off Cancer Can Have Amazing Benefits For Your Life The Best Tips On How To Keep This Killer At Bay Discovering that you or a loved one has cancer can be utterly terrifying. All the same, once you comprehend the causes of cancer and learn how to reverse those causes, you or your loved one may have more than a fighting chance of beating out cancer.

Get My Free Ebook


Post a comment