Submandibular Gland Sialolithiases

ROJoson’s Medical Anecdotal Report

Date of Observation: September 9, 2017

Submandibular gland is a salivary gland.

64-year-old female with a palpable mass at the right submandibular area which has been present for the past 5 years.

Ultrasound showed “heavily calcified solid nodule in the right submandibular gland, possibly neoplastic.”

Operative findings: sialolithiases with chronic sialoadenitis, right submandibular gland.

Operation: excision of whole right submandibular gland

IMG_5557

Note the 2 stones – one 1.5 cm in size (upper portion topmost) and another 5 mm (white structure just below the bigger stone).

IMG_5560

IMG_5563

Note the 2 white stones (calcified) and cut section of the submandibular gland showing chronic sialoadenitis.

IMG_5565

Note the duct that contains the bigger stone (placed on the side).


The patient presents with a picture like this – palpable mass at the right submandibular area – about 3 cm in size.

picture1


My preoperative diagnosis base on physical examination and ultrasound result was submandibular glannd benign tumor, right.   CT-scan or MRI was recommended by the ultrasonographer.  However, I did not do it anymore.  I proceeded with the exploration of the right submandibular triangle using the submandibular incision.

Operative findings: sialolithiases with chronic sialoadenitis, right submandibular gland.

Operation: excision of whole right submandibular gland

I was able to identify the digastric muscle and the hypoglossal nerve and the Wharton’s duct.  See pictures below.

nekL5024

Courtesy of Versalius.

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https://www.google.com.ph/search?q=submandibular+triangle&dcr=0&source=lnms&tbm=isch&sa=X&ved=0ahUKEwinvumynZjWAhWGFJQKHbb4DnMQ_AUICigB&biw=1366&bih=613#imgrc=Gnh8sCsShUnJkM:


Submandibular gland is one the 3 major salivary glands in the human body.

salivary_glands


ROJ@17sept9

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