Bilateral Multiple Submandibular Sialolithiasis:
report of a case

Hiroyuki Kanoh, Toshio Yokobayashi,
Takeshi Shimizu, Hideki Gotoh
Department of Oral and Maxillofacial Surgery,
Nagano Red Cross Hospital (Chief: Dr. Toshio Yokobayashi)


Abstract: A case of bilateral multiple submandibular sialolithiasis is reported . A 78-year-old man was referred to us because of a swelling on the left side of the submandibular region. Radiographic examination revealed the presence of salivary stones bilaterally in the submandibular areas. The swelling subsided after chemotherapy. Sialithotomy was not performed because the patient did not want further treatment. He visited us again 3 years later complaining of swellings on both sides of the submandibular regions. Radiographically, there were 8 stones in the right submandibular gland, 3 stones in the right submandibular duct and 2 stones in the left submandibular duct. They were all removed by sialoadenectomy and sialithotomy with the patient under general anesthesia. The patient made an uneventful recovery.
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