Post by: Dr. Roshni
Case presentation: 7 year old child, came to us with an extra-oral swelling (pain and fever) on lower right cheek.
On careful examination of the hard and soft tissues, I noticed an abnormality in the floor of the mouth. On digital palpation, the foreign body was moveable and clearly an obstruction in the salivary duct.
Undoubtedy, this was a Sialolith, present in the duct of the sub-mandibular gland. The child was kept under a course of antibiotics and analgesics. A tiny incision enabled us to effortlessly remove the stone.
WHAT IS SIALOLITHIASIS
A mucous retention cyst characterized by one or more calcified stones(sialoliths) within a salivary gland or its duct. Usually occurs among middle-aged adults and quite a few cases have been reported in children.
Chief complaints range from intermittent pain and discomfort to recurrent swelling and stabbing pain. Detected on routine clinical and radiographic examinations.