Professional paper

Surgical treatment of parotid gland giant salivary stone

Željko Orihovac ; Dubrava University Hospital, Zagreb, Department of Maxillofacial and Oral Surgery; School of Medicine, Zagreb
Ivan Zajc ; School of Dental Medicine, Zagreb, Croatia, Department of oral surgery
Darko Macan ; Dubrava University Hospital, Zagreb, Croatia; School of Dental Medicine, Zagreb, Croatia

Abstract

Giant salivary gland stones (> 15mm) are considered rare. We report a case of a 54-year-old patient with giant salivary gland stone in the parotid duct that was successfully surgically removed. The patient came to the general practitioner because he suffered pain and excessive swelling of the left side of the face. The general practitioner referred the patient to the maxillofacial surgeon. Clinical examination in outpatient clinic suggested that the giant salivary gland stone in Stensen`s duct was the cause of the swelling of the left
side of his face and parotid gland sialoadenitis. Computerized axial tomography scan of the head revealed a giant calculus (26 x 19 x 10 mm) in the left parotid duct, dilatation as well as copious pus in the proximal part of the duct and parotid gland. The patient was admitted to the hospital and surgical procedure was performed during which 2 salivary gland stones (20 x 18 x 12 mm and 10 x 8 x 7 mm) were removed and marsupialization of the parotid duct was performed. Postoperative recovery was good and the patient was
discharged from the hospital. After several follow ups in outpatient clinic, the patient was free of symptoms one year after the surgical procedure.

Keywords

salivary gland stone; parotid gland; surgical treatment

Hrčak ID:

107288

URI

https://hrcak.srce.hr/107288

Publication date:

11.9.2013.

Article data in other languages: croatian

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