Sialolith of the Submandibular Salivary Gland

An edentulous 63-year-old woman presented with a 2-week history of discomfort in the right submental region. Her symptoms were exacerbated by the anticipation of eating, and she reported having a 2-year history of episodic swelling in the area. On external examination, the area was painful on palpat...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 364; no. 6; p. 551
Main Authors Lemos-Júnior, Celso Augusto, Camargo, Alessandra
Format Journal Article
LanguageEnglish
Published Waltham, MA Massachusetts Medical Society 10.02.2011
Subjects
Biological and medical sciences
General aspects
Medical sciences
Medicine
Submandibular gland
Lithiasis
Salivary gland
Digestive system
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Summary:An edentulous 63-year-old woman presented with a 2-week history of discomfort in the right submental region. Her symptoms were exacerbated by the anticipation of eating, and she reported having a 2-year history of episodic swelling in the area. On external examination, the area was painful on palpation, but the overlying skin was normal and there was no lymphadenopathy. Intraoral examination revealed the presence of a hardened nodule, 1.5 cm in length, in the oral floor. The oral mucosa was normal in texture, with mild erythema (Panel A). Performance of a milking maneuver along the length of Wharton's duct resulted in . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMicm1008310