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A giant sialolith

Published:August 19, 2022DOI:https://doi.org/10.1016/j.amjms.2022.08.004
      A 35-year-old male presented with a progressively painful swelling on the left side of the neck for ten days, which increased when taking food. There was a 3 × 4 cm firm and tender swelling in the left submandibular region on examination. On intra-oral palpation, a hard swelling was felt in the left Wharton's duct, suggestive of a sialolith. A diagnosis of submandibular sialolithiasis was made, and the diagnosis was confirmed by ultrasound of the neck, which revealed a large hyperechoic stone in the Wharton's duct (Figure 1, big arrow) with dilatation of the distal portion of the duct (Figure 1, small arrow). Intraoral removal of the hard 2 × 1 cm stone (Figure 2) was done by incising over the Wharton's duct. The patient was discharged on oral antibiotics and antiseptic mouthwashes and was asymptomatic at one month follow-up.
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