SUBMANDIBULAR GLAND EXCISION AS A FINAL APPROACH TO SIALOADENITIS:A CASE SERIES

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 130; no. 3; p. e115
• Main Authors: CANDIDO, ISABELLA ROMÃO, GARCIA, ADRIANO LIMA, OLSEN, BRUNO REINOSO NORONHA, CALIENTO, RUBENS, SANTOS, THIAGO IAFELICE DOS, SILVA, ANDRÉ LUÍS FERNANDES DA, BORBA, ALEXANDRE MEIRELES
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.09.2020
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2020.04.025

Recurrent submandibular sialadenitis unresolved after more conservative approaches may have no other option than submandibular gland excision. Three cases of repetitive sialadenitis illustrate a history of swelling of the submandibular region as well as the floor of the mouth and tomographic findings of submandibular gland increase and presence of calculi. In spite of more conservative attempts, recurrence of sialadenitis determined the need for a more aggressive approach, which was accomplished by submandibular gland excision under general anesthesia. Histologic analysis confirmed the diagnosis of sialadenitis secondary to sialolithiasis. Postoperative control of all patients displayed normal sensibility, adequate tongue movement, and preserved facial expression. This case series represents submandibular gland final stage treatment to illustrate that, in spite of conservative attempts, surgical submandibular gland excision might be the only alternative in a recurrent sialadenitis case.