Madala Sudhakara Rao, Chekka Prapulla Kusumitha, Pandiri Jagruthi
Department of Otorhinolaryngology and Head and Neck Surgery, DR. PSIMS & RF, Chinnoutapalli, Gannavaram, Andhra Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2025 Jul;77(7):2633-2635. doi: 10.1007/s12070-025-05521-5. Epub 2025 May 14.
Salivary calculus is the most common cause for obstructive sialadenitis of submandibular gland. Foreign body causing obstructive sialadenitis is rare due to the anatomical and physiological factors preventing it from migrating into the duct. Our case report aims to highlight an unusual presentation of foreign body in the submandibular duct with the background of calculus formation and it's missed diagnosis in the usual radiological investigations like CT. Sialendoscopic retrieval revealed finger nail as the foreign body nidus with calculus deposits at one end of the nail.
涎石是下颌下腺阻塞性涎腺炎最常见的病因。由于解剖和生理因素阻止异物移入导管,导致阻塞性涎腺炎的异物较为罕见。我们的病例报告旨在突出下颌下导管异物的一种不寻常表现,背景是结石形成以及在CT等常规影像学检查中漏诊。唾液腺内镜取出物显示,异物核心为指甲,指甲一端有结石沉积。