2023, Number 1
Importance of radiographic evidence in the treatment of large sialoliths
Olivares GCS, Villegas GJ, Melean GYC, Arias PCA, Villarroel DM, Gudiño MRA, García GH
Full text
10.35366/111857
Language: Spanish
References: 9
Page: 31-35
PDF size: 270.96 Kb.
ABSTRACT
Introduction: many surgical approaches have been described for the removal of sialoliths in the submandibular gland, mostly associated to protect anatomical landmarks and to adjust to the size of the pathology. But the correlation with the radiographic studies is not always discussed, and the information that the provide might help to better prepare for a case of this kind. Objective: to describe the importance of radiographic images in the treatment of large sialoliths. Material and methods: 62-year-old male patient described facial asymmetry associated with the lower third due to a nodular lesion approximately 10 cm in diameter, with defined edges, normochromic, normothermic, indurated, mobile and not painful on palpation; the computed tomography study revealed a circumscribed hyperdense image of approximately 6 cm on the medial face of the right mandibular body. Results: removal of the submandibular gland was performed under general anesthesia; In the intraoperative act there were no complications. The histopathological diagnosis was mucous retention cyst associated with a sialolith, the postoperative controls were carried out within the first 24 hours, 7 days where I evidence neurosensory affections such as paresthesia and paresis, it is re-evaluated at 3 weeks and a year where the restitution of the function is evidenced. Conclusion: the use of computed tomography provides the clinician with the possibility of adapting the surgical technique to the size and location of the lesions, especially large ones as described in this report, this allows reducing intraoperative complications, reduce work time and efficiently locate the lesion.REFERENCES