Surgical management of an unusually large sialolith of the Wharton’s duct: A case report

Abstract

The estimated frequency of occurrence of sialoliths is 1.2%. They are frequently formed in the submandibular gland. They are commonly less than 10 mm in size and rarely larger than 15 mm. A 40-year-old female was referred to our department for the assessment of swelling, pain and pus discharge from the left side floor of the mouth. A hard mass was palpable along the left Wharton’s duct. Radiographic and clinical examination confirmed the diagnosis of sialolithiasis of the left submandibular duct. The calculus was removed trans-orally under local anaesthesia. The sialolith measured 18 × 6 mm. Six months after the intervention, the salivary flow was normal.