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Official Journal of the Italian Society of Maxillofacial Surgery
Frequency: 3 issues
Online ISSN 1827-1901
Santamaria S. 1, Mileto D. 1, Cristiano G. 1, Catalfamo L. 1, De Ponte F. S. 1,2
1 Chair of Maxillo-Facial Surgery University of Messina, Italy
2 School of Plastic and Reconstructive Surgery (Head: Prof. Francesco S. De Ponte) University of Messina, Italy
Bilateral sialolithiasis of submandibular glands is not commonly reported in the literature. The authors report a case of bilateral submandibular sialolithiasis in a 28-y-old woman. A scialoadenitic chronic symptomatology started about 10-y before. Ultrasono-graphy and MRI were used to confirm the diagnosis of bilateral sialolithiasis of submandibular glands; calculi were located in the glands themselves. Ultrasonographic examination, according to the literature, showed high sensitivity for detection of calculi; therefore ultrasonography was carried out in order to show the parenchymal structural alterations. MRI, usually considered a 2nd level technique of investigation for this pathology, was performed to demonstrate the presence of calculi and the degenerative alterations of the glandular parenchyma of both submandibular glands. The patient was treated with excision of both submandibular glands by means of a transcervical approach and post operatively had a routine convalescence. After 1-y follow-up there was no evidence of deficit of marginal mandibular, lingual and hypoglossal nerves. The cosmetic appearance was satisfactory. The excision of the 2 submandibular glands was followed by complete regression of the symptomatology: this result supports the usefulness of a radical treatment for chronic symptomatic calculous sialadenitis. Transcervical sialadenectomy, considering the absence in this clinical case of functional and cosmetic outcomes, may be regarded as a 1st choice surgical technique for excision of the submandibular glands affected by calculous sialadenitis.