Arunkumar K V, Garg Nitin, Kumar Vijay
Department of Oral & Maxilofacial Surgery, Subharti Dental College, NH-58, Delhi Haridwar Bypass Road, Subhartipuram, Meerut, 250005 Uttar Pradesh India.
J Maxillofac Oral Surg. 2015 Mar;14(Suppl 1):116-9. doi: 10.1007/s12663-012-0361-y. Epub 2012 Apr 3.
Sialolithiasis is a very common reason in causing obstructive salivary gland disease. Its incidence in males is more than females and children. They usually occur in submandibular ducts or gland and are 1 mm to less than 1 cm and rarely more than 1 cm. If they are more than 15 mm then, are termed as sialoliths of unusual size or giant sialoliths. The literatures have reports of up to 3.5 to 7 cm stones and are rare. The management includes removal of stone and re-channelizing the secretions in a functional gland or excision of gland in atrophied glands along with stone.
涎石病是导致阻塞性涎腺疾病的常见原因。其在男性中的发病率高于女性和儿童。涎石通常发生于下颌下腺导管或腺体,大小为1毫米至不足1厘米,很少超过1厘米。若超过15毫米,则被称为异常大小的涎石或巨大涎石。文献报道过长达3.5至7厘米的结石,极为罕见。治疗方法包括取出结石并使功能性腺体的分泌物重新通畅引流,或在萎缩腺体中连同结石一并切除腺体。