Clinical case: Removal of a giant sialolith using the transoral approach

Abstract

Salivary gland diseases are often linked to sialolithiasis with mainly involving the submandibular gland and ducts. Sialolithiasis can vary in different sizes, shapes and any measurements exceeding 15mm are considered as giant sialoliths. Swelling to the salivary glands is closely linked to sialolithiasis and is still considered as an infrequent diagnosis. The clinical case involves a 55-year-old male patient with evident swelling to the left submandibular area of the mouth. The correct diagnosis was identified and with the use of a computed tomography (CT Scan) confirmed the presence of a giant sialolith. It is imperative to examine the oral area to identify any tenderness or concerning enlargements and therefore a palpable intraoral was carried on the sialolith.