Author/Authors :
Özdede, Melih Gazi Üniversitesi - Diş Hekimliği Fakültesi - Ağız, Diş ve Çene Radyolojisi Anabilim Dalı, Turkey , Hacıosmanoğlu, Nur Gazi Üniversitesi - Diş Hekimliği Fakültesi - Ağız, Diş ve Çene Radyolojisi Anabilim Dalı, Turkey , Kaya, Elif Gazi Üniversitesi - Diş Hekimliği Fakültesi - Ağız, Diş ve Çene Radyolojisi Anabilim Dalı, Turkey , Özer, Halil Gazi Üniversitesi - Tıp Fakültesi - Radyoloji Anabilim Dalı, Turkey , Akın, Emre Gazi Üniversitesi - Tıp Fakültesi - Radyoloji Anabilim Dalı, Turkey , Seçkin, Anıl Gazi Üniversitesi - Diş Hekimliği Fakültesi - Ağız, Diş ve Çene Cerrahisi Anabilim Dalı, Turkey , Rzayev, Sharif Gazi Üniversitesi - Diş Hekimliği Fakültesi - Ağız, Diş ve Çene Cerrahisi Anabilim Dalı, Turkey
Abstract :
INTRODUCTION: Sialoliths (salivary gland stone) are calcified obstructions that occur in the salivary gland or duct. Sialolith is the most common disease of the salivary glands. Majority of the sialoliths occur in the submandibular gland and can be observed at almost any age. For the diagnosis of sialolith, conventional radiography, ultrasonography and computed-tomography can be used together with clinical examination. CASE REPORT: In the first case, radioopacities were seen under the right mandibular corpus and in the left mandibular angulus region on panoramic radiographs of a 66-yearold female patient. Ultrasonographic evaluation showed these radioopacities to be sialoliths. The patient had no other symptoms and was, therefore, followed periodically. The second case was a 61-year-old male patient; in the intraoral examination, hard masses were detected in the left submandibular gland region and no salivary flow was observed in the left Wharton duct. Radioopacities were seen on panoramic and mandibular occlusal radiographs. On ultrasonography, these appeared to be sialoliths and were removed intraorally. The third case was a 55-year-old female patient applied to our clinic with pain on the right cheek and ear while eating. In the intraoral examination, inflammation was detected in the right Stenon duct. On ultrasonography, sialolith and infected parotid gland with heterogeneous echogenicity were noticed. The sialolith was removed surgically under general anesthesia. CONCLUSION: Application of appropriate imaging techniques are important for the diagnosis of sialolith. The diagnosis and treatment of sialolith requires multidisciplinary clinical approach.
