Suppurative minor salivary gland sialolithiasis

Camila de Oliveira Barbeiro; Roberto Henrique Barbeiro; Andreia Bufalino; Jorge Esquiche León

doi:10.4322/acr.2021.397

Clinical Case Report

Suppurative minor salivary gland sialolithiasis

Camila de Oliveira Barbeiro; Roberto Henrique Barbeiro; Andreia Bufalino; Jorge Esquiche León

http://dx.doi.org/10.4322/acr.2021.397 Autops Case Rep, vol.12, e2021397, 2022

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Abstract

Sialolithiasis is a common nonneoplastic disease of the major salivary glands that often affects the submandibular glands. Minor salivary gland involvement by sialolithiasis is uncommon, with only 273 cases reported. A long clinical history, acute symptoms, and mucopurulent discharge are unusual features of these cases. Herein, we report the case of a 63-year-old woman who complained of symptomatic nodular swelling of the buccal mucosa associated with purulent discharge for several days. The clinical history lasted 15 years, with episodes of asymptomatic non-suppurative swelling in the same area. The patient underwent surgical excision. The microscopic examination revealed chronic nonspecific sialadenitis associated with psammomatous calcifications, confirming minor salivary gland sialolithiasis. After 3 years of follow-up, the patient was free of symptoms. Patients with sialolithiasis are usually asymptomatic; however, swelling, pain, and fistula may be present in rare cases. The presence of purulent exudate should lead to the differential diagnosis of stomatitis glandularis, a rare inflammatory condition affecting the minor salivary glands. Sialolithiasis and stomatitis glandularis should be considered in the clinical differential diagnosis of symptomatic suppurative nodular swelling affecting the oral mucosa, and histopathological analysis is necessary for the diagnosis.

Keywords

Salivary gland calculi, Sialadenitis, Salivary Glands, Minor

References

1 Kessler AT, Bhatt AA. Review of the major and minor salivary glands, part 1: anatomy, infectious, and inflammatory processes. J Clin Imaging Sci. 2018;8:1-8. http://dx.doi.org/10.4103/jcis.JCIS_45_18. PMid:30546931.

2 Wilson KF, Meier JD, Ward PD. Salivary gland disorders. Am Fam Physician. 2014;89(11):882-8. PMid:25077394.

3 Abe A, Kurita K, Hayashi H, Minagawa M. A case of minor salivary gland sialolithiasis of the upper lip. Oral Maxillofac Surg. 2019;23(1):91-4. http://dx.doi.org/10.1007/s10006-019-00745-6. PMid:30719584.

4 Papin D. Salivary calculus. Dent Cosmos. 1864;5(6):136.

5 Rzymska-Grala I, Stopa Z, Grala B, et al. Salivary gland calculi: contemporary methods of imaging. Pol J Radiol. 2010;75(3):25-37. PMid:22802788.

6 Wang WC, Chen CY, Hsu HJ, Kuo JH, Lin LM, Chen YK. Sialolithiasis of minor salivary glands: a review of 17 cases. J Dent Sci. 2016;11(2):152-5. http://dx.doi.org/10.1016/j.jds.2015.10.006. PMid:30894964.

7 Kimura M, Enomoto A, Shibata A, Nishiwaki S, Umemura M. A case of sialolithiasis in a minor salivary gland of the buccal mucosa. J Clin Diagn Res. 2016;10(11):ZD06-7. http://dx.doi.org/10.7860/JCDR/2016/21977.8766. PMid:28050512.

8 Bajpai M, Pardhe N. Sialolithiasis of lower lip: histopathological interpretation. J Ayub Med Coll Abbottabad. 2017;29(3):529. PMid:29076701.

9 Matiakis A, Tzermpos F. Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma. J Korean Assoc Oral Maxillofac Surg. 2021;47(2):145-8. http://dx.doi.org/10.5125/jkaoms.2021.47.2.145. PMid:33911048.

10 Guenzel T, Hoch S, Heinze N, et al. Sialendoscopy plus laser lithotripsy in sialolithiasis of the submandibular gland in 64 patients: a simple and safe procedure. Auris Nasus Larynx. 2019;46(5):797-802. http://dx.doi.org/10.1016/j.anl.2019.01.009. PMid:30765274.

11 Williams HK, Williams DM. Persistent sialadenitis of the minor glands-stomatitis glandularis. Br J Oral Maxillofac Surg. 1989;27(3):212-6. http://dx.doi.org/10.1016/0266-4356(89)90147-2. PMid:2742807.

12 Lederman DA. Suppurative stomatitis glandularis. Oral Surg Oral Med Oral Pathol. 1994;78(3):319-22. http://dx.doi.org/10.1016/0030-4220(94)90062-0. PMid:7970592.

13 Cannell H, Kerawala C, Farthing P. Stomatitis glandularis: two confirmed cases of a rare condition. Br Dent J. 1997;182(6):222-5. http://dx.doi.org/10.1038/sj.bdj.4809351. PMid:9115840.

14 Musa NJ, Suresh L, Hatton M, Tapia JL, Aguirre A, Radfar L. Multiple suppurative cystic lesions of the lips and buccal mucosa: a case of suppurative stomatitis glandularis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(2):175-9. http://dx.doi.org/10.1016/j.tripleo.2004.02.070. PMid:15660088.

Submitted date:
10/21/2021

Accepted date:
07/24/2022

Publication date:
09/12/2022

Suppurative minor salivary gland sialolithiasis

Camila de Oliveira Barbeiro; Roberto Henrique Barbeiro; Andreia Bufalino; Jorge Esquiche León

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