GIANT SIALOLITH IN WARTON’S DUCT: A CLINICAL REPORT

Abstract

Introduction: Sialolithiasis is a disease of the salivary glands, characterized by the formation of stones or sialoliths inside the ducts or glandular parenchyma itself. Most sialoliths have small size and are generally smaller than one centimeter. Sialoliths larger than three cm are extremely rare. Objective: to report a clinical case of a giant sialolith found in the Warton’s duct of the submandibular gland. Case Report: Patient 59 years, Caucasian with regular general state of health, attended the Oral and Maxillofacial Surgery service at the Santa Isabel Hospital, Joao Pessoa – PB complaining of “swelling under the tongue and pain when salivating. On intraoral clinical examination, we observed swelling in the path of Warton’s duct in the mouth floor segment. After radiographical examination (mandibular occlusal radiograph), we found extensive radiopaque image in the ductal area, establishing therefore a diagnosis of sialolithiasis of Warton’s duct. Surgical removal was performed under local anesthesia, with restoration of patency of the ducts and normal salivary flow. Conclusion: The diagnosis and surgical treatment described in this case report were supported by the literature and achieved clinical efficacy. DESCRIPTORS: Submandibular Gland. Salivary Duct Calculi. Surgery, Oral.