Giant sialoliths of submandibular gland duct: Report of two cases with unusual shape
A 45-year-old female reported with complaints of swelling in mouth associated with pain over left side of face during intake of food. On intraoral examination, hard mass of approximately 2 cm × 1 cm is palpated in the floor mouth with mild tenderness over left submandibular region. On orthopantomogram and occlusal radiograph large radiopaque mass is detected of size approximately 20 mm × 6 mm located within the right Wharton's duct [Figures and ]. The calculus was removed intraorally and duct opening was transposed into the floor of mouth under local anesthesia. The unusually large size of calculus was measured to be 19 mm × 5 mm []. Patient was followed-up for 1 year and is asymptomatic without any recurrence. The submandibular salivary gland regained its normal function and effective salivary drainage in the follow-ups.