Ying Xiaoxia, Kang Jianan, Zhang Fuyin, Dong Hui
Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, P.R. China.
Exp Ther Med. 2016 Jan;11(1):335-337. doi: 10.3892/etm.2015.2849. Epub 2015 Nov 10.
Sialolithiasis is a common disease that is characterized by the obstruction of the salivary gland. Sialolithiasis mainly affects the submandibular glands and the Wharton's duct. However, bilateral sialolithiasis is a rare condition. In addition, recurrence of sialoliths subsequent to surgical excision of the submandibular gland for the treatment of sialolithiasis has been rarely reported. The present study reported a case presenting with recurrent sialoliths with sialadenitis in the residual Wharton's duct following the excision of bilateral submandibular glands. An 81-year-old man presented with a solid and painful mass in the left submandibular area. The patient had a history of bilateral submandibular sialolithiasis, and had undergone excision of bilateral submandibular glands with the right Wharton's duct 4 years earlier. Computed tomography scans demonstrated two calculi in the residual Wharton's duct, which were surgically removed without any complications. The present study discussed the mechanisms underlying sialolith formation subsequent to the excision of submandibular glands.
涎石病是一种以唾液腺梗阻为特征的常见疾病。涎石病主要影响下颌下腺和沃顿管。然而，双侧涎石病是一种罕见的情况。此外，因涎石病行下颌下腺手术切除后涎石复发的情况鲜有报道。本研究报告了一例双侧下颌下腺切除术后，残留沃顿管出现复发性涎石伴涎腺炎的病例。一名81岁男性患者，左下颌下区出现一个质地坚硬且疼痛的肿块。该患者有双侧下颌下涎石病病史，4年前曾行双侧下颌下腺及右侧沃顿管切除术。计算机断层扫描显示残留沃顿管内有两颗结石，手术将其取出，未出现任何并发症。本研究探讨了下颌下腺切除术后涎石形成的机制。
