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Growth rate of salivary glands calculi: an interesting case
British Journal of Oral and Maxillofacial Surgery (2003) 41, 414 © 2003 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved. doi:10.1016/S0266-4356(03)00156-6, available online at www.sciencedirect.com
SHORT COMMUNICATION Growth rate of salivary glands calculi: an interesting case J. Makdissi Department of Dental Radiology, Floor 23, Guy’s Hospital, GKT Dental Institute, London SE1 9RT, UK
Fig. 1 Oblique lateral view of the right submandibular gland in 1998 showing stone.
Fig. 2 Oblique lateral view of the right submandibular gland in 2003 showing stone.
Salivary calculi grow by deposition, at a rate that has been estimated at approximately 1–1.5 mm per year,1 and range in size from 0.1 to 30 mm.2 The most common site is the submandibular gland where 80–90% of calculi are found. We present a case of a 63-year-old male who originally presented with a 25 × 30 mm stone (Fig. 1) in his right submandibular gland. This stone was surgically removed in April 1998 via an intraoral approach. The patient presented again in June 2003 complaining of mealtime syndrome. His radiographs revealed a new 15×20 mm stone (Fig. 2) present in the right submandibular gland. The findings suggest a calculus growth rate of up to 3.5 mm a year. This could be attributed to the change of the environment of ductal system caused by one or both of the following factors. The first is presence of a large sac produced by the presence of the previous stone, and the second is
the new and artificial opening in the floor of the mouth produced by the surgery. REFERENCES 1. Norman JEB, McGurk M. Color Atlas and Text of the Salivary Glands Diseases, Disorders and Surgery. Barcelona: Mosby-Wolfe, 1995. 2. Frame JW, Smith AJ. Large calculi of the submandibular salivary glands. J Oral Maxillofac Surg 1986; 15: 769.
The Author J. Makdissi FDSRCS (Eng.) Department of Dental Radiology Floor 23, Guy’s Hospital GKT Dental Institute, London SE1 9RT, UK Correspondence and requests for offprints to: J. Makdissi FDSRCS (Eng.), Department of Dental Radiology, Floor 23, Guy’s Hospital, GKT Dental Institute, London SE1 9RT, UK. E-mail: [email protected] Accepted 22 July 2003
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SHORT COMMUNICATION Growth rate of salivary glands calculi: an interesting case J. Makdissi Department of Dental Radiology, Floor 23, Guy’s Hospital, GKT Dental Institute, London SE1 9RT, UK
Fig. 1 Oblique lateral view of the right submandibular gland in 1998 showing stone.
Fig. 2 Oblique lateral view of the right submandibular gland in 2003 showing stone.
Salivary calculi grow by deposition, at a rate that has been estimated at approximately 1–1.5 mm per year,1 and range in size from 0.1 to 30 mm.2 The most common site is the submandibular gland where 80–90% of calculi are found. We present a case of a 63-year-old male who originally presented with a 25 × 30 mm stone (Fig. 1) in his right submandibular gland. This stone was surgically removed in April 1998 via an intraoral approach. The patient presented again in June 2003 complaining of mealtime syndrome. His radiographs revealed a new 15×20 mm stone (Fig. 2) present in the right submandibular gland. The findings suggest a calculus growth rate of up to 3.5 mm a year. This could be attributed to the change of the environment of ductal system caused by one or both of the following factors. The first is presence of a large sac produced by the presence of the previous stone, and the second is
the new and artificial opening in the floor of the mouth produced by the surgery. REFERENCES 1. Norman JEB, McGurk M. Color Atlas and Text of the Salivary Glands Diseases, Disorders and Surgery. Barcelona: Mosby-Wolfe, 1995. 2. Frame JW, Smith AJ. Large calculi of the submandibular salivary glands. J Oral Maxillofac Surg 1986; 15: 769.
The Author J. Makdissi FDSRCS (Eng.) Department of Dental Radiology Floor 23, Guy’s Hospital GKT Dental Institute, London SE1 9RT, UK Correspondence and requests for offprints to: J. Makdissi FDSRCS (Eng.), Department of Dental Radiology, Floor 23, Guy’s Hospital, GKT Dental Institute, London SE1 9RT, UK. E-mail: [email protected] Accepted 22 July 2003
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