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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 1994; 5(2):275-280

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

DOI: https://doi.org/10.35420/jcohns.1994.5.2.275

원저

악하선계 타석증의 임상적 연구

변준영1, 채요한1, 원나경1, 이강온1
A Clinical Study of Submandibular Stones
Jun Yeong Byun1, Yo Han Chai1, Na Keong Won1, Kang On Lee1
1울산 동강병원 이비인후과
1Department of Otolaryngology, Ulsan Dongkang Hospital

© Copyright 1994 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

The salivary stone consists of molecules of abnormal mucoid material coalescing into a gel and eventually into a laminar structure, not an uncommon condition encountered in practice. The salivary stone may found in all the salivary glands or ducts, but the larger proportion in the submandibular gland or duct. Authors performed the analysis of 18 cases of the salivary stone which were diagnosed and treated from March 1989 to May 1994 at our department.

The results were as follows;

  1. Age and sex distributions were more predominantly third decade(55.5%) and male(55.5%), respectively.

  2. Site distributions were more common at submandibuar duct(72.2%) and Left side(66.7%)·

  3. Number of stone was from 1 to 2, and 15 cases(83.3%) were single stone. Size was diverse from 2 to 15mm in the longest diameter and 12 stones(57.1% ) were from 5 to 9mm. 14 stones(66.7%) had yellow color.

  4. The clinical symptoms were 10 cases(55.6%) of submandibular swelling, 8 cases(44.4%) of painful swelling of submandibular area at meal, 3 cases(16.7%) of odynophagia, 2cases(11.1%) of submandibular area and mouth floor pain, and 1 case(5.6%) of fever and chilling sensation.

  5. Among diagnostic methods of the salivary gland stone, the plain x-ray and sialogram were very important.

  6. The 16 cases(88.9%) were treated by submandibular gland resection and 2 cases (11.1%) by intraoral removal.

Keywords: Submadibular stones; Clinical study