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Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 1993; 4(2):326-332

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1993.4.2.326

원저

타석에 관한 임상적 고찰

김연준1, 이승주1, 정윤영1, 오천환1
A Clinical Study of Salivary Stones
Yeon Joon Kim1, Seung Ju Lee1, Yoon Young Chung1, Cheon Hwan Oh1
1순천향대학교 의과대학 천안병원 이비인후과학교실
1Department of Otolaryngology, Chunan Hospital, College of Medicine, Soonchunhyang University

© Copyright 1993 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Sialolithiasis is the formation of calcific concretions within the ductal system of a major or minor salivary gland. Submandibular glandular system is more susceptible to sialolith formation when compared with the other glands.

The authors analyzed 24 cases of the salivary stone which were diagnosed and treated from Jan. 1984 to Mar. 1992 at the department of Otolaryngology, Chunan Hospital, College of Medicine, Soonchunhyang University.

The results were as follows;

  1. Age distribution was even from 10 to 73 years old. Males(62.5%) were more frequently affected than females(37.5%).

  2. Right side(66.6%) was more frequent than left(29.2%). Submandibular duct was the most common site in 19 cases(79.2%).

  3. Number of calculi was various from 1 to 4 and single stone was most commonly present in 18 cases(75.0%). Size was diverse from 1 to 23mm in the longest diameter and 16 stones (47.0%) were from 2 to 5mm, 11 stones(32.4%) from 6 to 10mm.

  4. Common symptoms were swelling of submandibular area in 12 cases(50.0%), painful swelling of submandibular area at meal in 10 cases(41.7%) and odynophagia in 7 cases(29.2%) in order. In physical examination, hard mass in mouth floor was in 20 cases(83.3%) and tenderness of submandibular gland in 12 cases(50.0%).

  5. Diagnosis was made with physical examination, plain X-ray and sialogram in 16 cases (66.6%).

  6. 17 cases were treated by intraoral removal and 7 cases by submandibular gland resection and recurrence or any specific complications were not noted.

Keywords: Salivary Gland; Salivary Stones