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Submandibular Gland
Case Report
Sialodenektomi Pada Giant Sialolith
Kelenjar Submandibula (Laporan Kasus)
drg. Agung Tri Prakoso *
drg. Herman Hambali Sp.BM **
dr. Teguh Marfen D, SpB. SpBTKV ***
INTRODUCTION
Sialolithiasis is a common disease of salivary
glands characterized by the obstruction of the
salivary secretion by presence stone or a
calculi that called sialolith. 1
Sialoltihiasis 30 % salivary gland Patology
85 % SUBMANDIBULAR
10 % PAROTIS
5. James R. Hupp, dkk., Contemporary Oral And Maxillofacial Surgery 6 ed., Mosby, Inc, 2013;
p.406
CLASSIFICATION
LOCATION
Parotis Gland And Duct
Submandibular gland And Duct
Sublingual gland And Duct
Minor Gland
SIZE
SMALL : < 10mm
LARGE : 10-35 mm
GIANT : < 35 mm
3. Panat SR, Aggarwal A., Upadhyay N., Kishore M., Alok A., Sialolithiasis: A Case Series, Journal
of Dental Sciences & Oral Rehabilitation, July-September, 2013
Pathophysiology
The etiology and pathogenesis of sialolith formation
is still unknown.
PALPATION
In the submandibular sialolith intraoral and extraoral
bimanual examination is usually palpable hard mass,
mobile, with distinct borders.
6. Mouli C., Kumar SM, Kailasam S., Shanmugam S., Satish S., Sialolith: A Case Report With
Review Of Literature, Indian Journal of Multidisciplinary Dentistry, Vol. 2, Issue 1, November
2011 to January 2012.
ADDITIONAL EXAMINATION :
SIALOGRAPHY
6. Mouli C., Kumar SM, Kailasam S., Shanmugam S., Satish S., Sialolith: A Case Report With
Review Of Literature, Indian Journal of Multidisciplinary Dentistry, Vol. 2, Issue 1, November
2011 to January 2012.
ADDITIONAL EXAMINATION :
ULTRASOUND
6. Mouli C., Kumar SM, Kailasam S., Shanmugam S., Satish S., Sialolith: A Case Report With
Review Of Literature, Indian Journal of Multidisciplinary Dentistry, Vol. 2, Issue 1, November
2011 to January 2012.
ADDITIONAL EXAMINATION :
COMPUTED TOMOGRAPHY
Plain CT Scan
Cone Beam Computed
Tomography
Scanning (CBCT-Scan)
Theraphy: Conservative
Small Sialolith near the mouth of
the duct :
Message + Sialogogues 4
Sialogogues :
Sour lemon drops
Parasympathomimetic drugs
pilocarpin 10 mg
Chewing gum
4. Bagheri S.C, Chris Jo, Clinical Review Of Oral And Maxillofacial Surgery, Mosby, Inc.,
2008;p.123-27
Theraphy: Transductal Surgical
2. Treister SN, Bruch JM, Clinical Oral Medicine And Pathology, Humana Press, 2010; p.106
Theraphy: Duct Dilatation
4. Bagheri S.C, Chris Jo, Clinical Review Of Oral And Maxillofacial Surgery, Mosby, Inc.,
2008;p.123-27
Theraphy: Lithotripsy
Extracorporeal Shock
Wave Lithotripsy
(ESWL)
Endoscopic
Intracorporeal Shock
Wave Lithotripsy
(EISWL)
6.Mouli C., Kumar SM, Kailasam S., Shanmugam S., Satish S., Sialolith: A Case Report With
Review Of Literature, Indian Journal of Multidisciplinary Dentistry, Vol. 2, Issue 1, November
2011 to January 2012..
Theraphy:
Endoscopic Retrieval
4. Bagheri S.C, Chris Jo, Clinical Review Of Oral And Maxillofacial Surgery, Mosby, Inc.,
2008;p.123-27
Theraphy: Sialodenectomy
Sialodenektomi is taking
intact all salivary
glands.
Indication :
Giant and large sialolith
located in the deep and
posterior third or in the
salivary glands
progressive obstruction of
salivary duct
9. McCullom III C, Lee CYS, Blaustein D, Sialolithiasis In An 8-Year-Old Child: Case Report, Pediatr.
Den. Vol. 13, 1991; p.231-33
Theraphy: Sialodenectomy
Complication :
Nerve Injury :
lingual nerve
hypoglossal
marginal mandibular
branch of the facial nerve.
Xerostomia
Risk :
Bleeding
Swelling
pain
Surgical Site Infections
4.Bagheri S.C, Chris Jo, Clinical Review Of Oral And Maxillofacial Surgery, Mosby, Inc., 2008;p.123-27
FOLLOW UP & PROGNOSA
Immediate Follow up :
Chief Complain : pain (+/-), swelling (+/-)
Nerve injury
Wound Healing Infection (+/-)
Prognosa
Ad functionam ad bonam
Ad Vitam ad bonam
4.Bagheri S.C, Chris Jo, Clinical Review Of Oral And Maxillofacial Surgery, Mosby, Inc., 2008;p.123-27
HATUR NUHUN.....