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| CASE REPORT |
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| Year : 2013 |
Volume
: 24 | Issue : 3 | Page
: 381-383 |
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Submandibular swelling: Tooth or salivary stone?
Pasquale Capaccio1, Giulia Anna Marciante1, Michele Gaffuri1, Francesco Spadari2
1 Department of Specialist Surgical Sciences, ENT Clinic, University of Milan, IRCCS Foundation Ca` Granda Ospedale Maggiore Policlinico, Milan, Italy
2 Department of Surgical, Unit of Oral Pathology and Medicine, Reconstructive and Diagnostic Sciences, University of Milan, IRCCS Foundation Ca` Granda-Ospedale Maggiore Policlinico, Milan, Italy
Correspondence Address:
Pasquale Capaccio
Department of Specialist Surgical Sciences, ENT Clinic, University of Milan, IRCCS Foundation Ca` Granda Ospedale Maggiore Policlinico, Milan
Italy
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0970-9290.118017
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Submandibular swelling is a common clinical disorder of the maxillo-facial region that may be one of the manifestation of several pathologic disorders including sialolithiasis.
A 38-year-old woman experienced a recurrent painful swelling in the right submandibular region for seven years. The symptoms, not always meal-related, gradually became chronic and associated with dysphagia, odynophagia and fever. Ultrasonography of the salivary glands revealed a retained glandular structure and no ductal obstruction or dilatation, and orthopantomography showed the presence of a structure compatible with tooth, but these findings did not correlate with clinical scenario. Only CT dental scan identified the radiological image as a salivary stone.
Sialolithiasis should always be considered in the diagnostic iter of painful submandibular swelling. A careful evaluation of recurrence and characteristics of signs and symptoms associated to the swelling can help in making the correct diagnosis and planning a proper therapeutic strategy. |
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