AUTHOR(S): Dr. Syed Wakeel, Dr. Mohammad Shafi Dar and Dr. Shajah Hussain Sheikh

ABSTRACT:The sialolith is a calcified mass with laminated layers of inorganic material. It results from the crystallization of salivary solute. It is yellowish white in color, single multiple, may be rounded, ovoid or elongated having the size of 2cm or above or more in diameter the minerals are various forms of calcium phosphate like hydroxyapatite octacalcium phosphate etc. calcium and phosphorous ions are deposited on the organic nidus, which may be, desquamated epithelial cell, bacteria, foreign particles or products of bacterial deposition, it is said that the sialoliths grow at the rate of 1mm per year, which may form in the parenchyma or the duct of the major or minor salivary gland Obstructive sialadenitis with or without sialolithiasis represents the main inflammatory disorder of the major salivary glands. Approximately 80% of sialolithiasis involves the submandibular glands, 20% occurs in the parotid gland, and less than 1% is found in the sublingual gland. Patients typically present with painful swelling of the gland at meal times when obstruction caused by the calculus becomes most acute. When conservative management with sialogogues, massage, heat, fluids and antibiotics fails, then sialo-lithiasis needs to be surgically treated by transoral sialolithotomy, sialendoscopic and sialendos-copy assisted techniques; or as a last resort, excision of the affected gland. Hence; in the present study, we presented our experience of treating sialolithiasis.

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