Sunder V S, Chakravarthy C, Mikkilinine R, Mahoorkar S
Department of Prosthodontics, Hyderabad Karnataka Education Society's S. Nijlingappa Institute of Dental Sciences and Research, Gulbarga, Karnataka, India.
Niger J Clin Pract. 2014 Jan-Feb;17(1):115-8. doi: 10.4103/1119-3077.122870.
Sialolithiasis accounts for the most common etiology of salivary gland obstruction which leads to recurrent painful swelling of the involved gland which often exacerbates while eating. Stones may be encountered in any of the salivary glands but most frequently in the submandibular gland and its duct. Simultaneous sialolithiasis in more than one salivary gland is rare, occurring in fewer than 3% of cases. Seventy to 80% of cases feature solitary stones; only about 5% of patients have three or more stones, the case report which we are presenting here had three submandibular sialoliths involving both the submandibular glands which were removed by intraoral approach and no post-operative complications were noted.
涎石病是涎腺阻塞最常见的病因,可导致受累腺体反复出现疼痛性肿胀,且常在进食时加重。涎石可见于任何涎腺,但最常见于下颌下腺及其导管。多个涎腺同时发生涎石病很罕见,发生率不到3%。70%至80%的病例为单个结石;只有约5%的患者有三个或更多结石,我们在此报告的病例有三个下颌下涎石,累及双侧下颌下腺,通过口内途径切除,未发现术后并发症。