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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
Long-term rare giant sialolithiasis for 30 years: A case report and review of literature
Jit-Swen Mao, Yu-Chien Lee, Jessie Chao-Yun Chi, Wan-Ling Yi, Yung-An Tsou, Chia-Der Lin, Chih-Jaan Tai, Liang-Chun Shih
Jit-Swen Mao, Yu-Chien Lee, Wan-Ling Yi, Yung-An Tsou, Chia-Der Lin, Chih-Jaan Tai, Liang-Chun Shih, Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 400, Taiwan
Jessie Chao-Yun Chi, Department of Otorhinolaryngology, Head and Neck Surgery, Taichung Hospital, Ministry of Health and Welfare, Taichung 404, Taiwan
Yung-An Tsou, Liang-Chun Shih, Department of Otorhinolaryngology-Head and Neck Surgery, Asia University Hospital, Taichung 404, Taiwan
Yung-An Tsou, Chia-Der Lin, Chih-Jaan Tai, Liang-Chun Shih, School of Medicine, China Medical University, Taichung 404, Taiwan
Author contributions: Mao JS and Lee YC conceived the study and contributed to protocol development, data collection, data analysis, interpretation of results, and drafting of the article; Mao JS and Lee YC collected the data; Chi JCY, Yi WL, Tsou YA, Lin CD, Tai CJ, and Shih LC provided critical feedback, direction, and article revisions; Mao JC, Lee YC, and Shih LC contributed to the protocol development, interpreted the results, and finalized the manuscript; all authors have approved the final version of the manuscript submitted for publication; Mao JS and Lee YC contributed equally to this study.
Supported by The China Medical University Hospital, No. DMR-110-242 and No. DMR-110-057.
Informed consent statement: All study participants or their legal guardians provided written informed consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
https://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Liang-Chun Shih, Department of Otorhinolaryngology-Head and Neck Surgery, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung 400, Taiwan. entdrshih7111@gmail.com
Received: May 4, 2023
Peer-review started: May 4, 2023
First decision: May 25, 2023
Revised: June 1, 2023
Accepted: July 6, 2023
Article in press: July 6, 2023
Published online: August 6, 2023
Processing time: 90 Days and 19.5 Hours
BACKGROUND
Sialolithiasis is one of the most common salivary gland disorders, most commonly affecting the submandibular gland. Submandibular sialolithiasis can be treated using non-invasive conservative measures and invasive treatments. Treatment selection was based on the ductal system anatomy and the size and location of the stones. This study aimed to review the updates on sialolithiasis treatment and compare the different management strategies of the variables.
CASE SUMMARY
This report presents a case of a long-term, rare, and giant sialolithiasis within the submandibular gland parenchyma for 30 years in an older adult. Our patient presented with painless right submandibular swelling. Computed tomography revealed a calcified mass measuring 35 mm × 20 mm within the right submandibular gland. In this case, the infection and fibrosis of the affected gland and size of the stone did not provide us with other alternatives except for the excision of the involved gland. Thus, right submandibular sialoadenectomy was performed via the transcervical approach. After the surgery, the patient recovered without any complaints, side effects, or complications.
CONCLUSION
Tailored management is important for preserving gland function, maintaining low risk, and reducing patient discomfort.
Core Tip: Giant sialoliths are uncommon, and their long duration is rarely documented. This report presents a case of a long-term, rare, and giant sialolithiasis within the submandibular gland parenchyma for 30 years in an older adult. We reviewed 44 cases of giant sialoliths that were reported between 1981 and 2022. Based on the comparative table, our case is the second largest with the longest duration. This case highlights the importance of proper diagnosis and treatment.
