Abstract

SILVA, Amanda de Carvalho; OLIVEIRA, Marina Reis; AMARAL, Lysandro Fabris Almeida  and  MARIANO, Ronaldo Célio. Extraoral surgical access for removal of intraparotid giant sialolith in young patient. A case report. Rev Esp Cirug Oral y Maxilofac [online]. 2016, vol.38, n.4, pp.218-222. ISSN 2173-9161.  https://dx.doi.org/10.1016/j.maxilo.2014.07.012.

Sialolithiasis is one of the most common diseases of salivary glands. Sialoliths mainly develop in the submandibular gland with few cases described in the parotid and sublingual glands. They are more common in adults between the third and fourth decades of life, and can affect the elderly and rarely children and adolescents. In most cases, they are located in the ducts, but parenchymal location is unusual. Clinical signs of sialolithiasis are well known; however, they may appear in atypical sites, making it difficult to locate and diagnose them precisely. In these cases, the use of complementary imaging examinations, such as computerized tomography, is critical to delimit the lesion and determine the treatment plan. Therefore, the description of this clinical case of a parotid sialolith, with atypical location, in a 17-year-old patient, that was surgically removed by extraoral access after determining its correct location by using computerized tomography imaging is relevant and important.

Keywords : Salivary gland stones; Computerized tomography; Parotid diseases; Adolescent; Oral surgery.

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