Long-term rare giant sialolithiasis for 30 years: A case report and review of literature

Table 1 Comparative table of various cases of giant submandibular sialolithiasis with different treatments

Ref.	Year	Size (mm)	Symptoms/signs	Duration	Treatment	Complication
Zakaria[35]	1981	33	Swelling in the right submandibular region, increasing pain during meals	20 yr	The right submandibular gland was excised	None
Naraynsingh[36]	1985	60	Painless hard left submandibular swelling	3 yr	Incision of left submandibular gland via a transcervical approach	None
Frame and Smith[37]	1986	30	Recurrent pain and swelling of the right side of the face	N/A	Excise the gland and calculus	None
		25	Slight discomfort in the area	N/A	Sialo-adenectomy via a standard incision	None
Kaltman and Eichner[38]	1987	45	Pain and swelling over the left submandibular area	15 yr	Standard extraoral approach	None
Raveenthiran and Hayavadana Rao[39]	2004	35	Painless swelling in the floor of her mouth	N/A	Transoral sialolithotomy	None
Yildirim[40]	2004	30	Huge, firm mass below the right angle of the mandible	N/A	Excised via extraoral approach	None
Chan and Patel[41]	2006	35	Painful mass in the left floor of the mouth	N/A	Transoral sialodochoplasty and removal calculus	None
Graziani et al[42]	2006	22	Asymptomatic	N/A	Transorally	None
Ledesma-Montes et al[43]	2007	36	Painful mass located on the right side of the floor of the mouth	12 yr	Surgical excision of the sialolith	None
Biddle and Arora[44]	2008	26	Persistent draining wound over the right submandibular region, odynophagia, and dysphagia were noted	2 yr	Excised via standard incision	None
Rai and Burman[45]	2009	72	Episodes of pain for last 2 yr, but severe pain and swelling in the left lower submandibular region	1 mo	Sialolithotomy with sialodochoplasty via an intraoral approach	None
Soares et al[46]	2009	25	Hard elongated mass along the right Wharton’s duct and a reduced salivary flow	4 mo	Dissected with the patient under local anesthesia	None
Rivera-Serrano and Schaitkin[47]	2011	23	Chronic unrelenting purulent discharge from bilateral submandibular ducts	N/A	Transoral sialolithotomy approach	None
Krishnan et al[48]	2009	34	Recurrent pain and swelling	8 yr	Transoral approach	None
Emir et al[49]	2010	35	Mass on the right side of the floor of the mouth and fistulization of the Wharton duct into the oral cavity	N/A	Removed transorally from the opening of the fistula at the floor of the mouth	None
Shetty and Sharma[50]	2010	27	Firm painful swelling in the left submandibular region	1 mo	Gentle extraction	None
Boffano and Gallesio[51]	2010	22	Swelling and pain in the submandibular right region	N/A	Removal of the stone and sialodochoplasty were done via an intraoral approach	None
Arunkumar et al[52]	2015	20	Recurrent right submandibular swelling with pain during meals and gradual regression	8 mo	Removed intraorally	None
Pandarakalam et al[53]	2013	40	Swelling, gradually increased in size and became painful recently	4 yr	Excision of the right submandibular salivary gland	None
Iqbal et al[54]	2012	35	Hard swelling in the anterior oral floor of mouth	N/A	Intraoral incision	None
Ben-Shoshan and Lacroix[31]	2014	17	Mild pain in the submandibular area	1 yr	Fell out without any intervention	None
Gupta et al[3]	2013	28	Intermittent, dull aching pain, and swelling in left submandibular area	3 mo	Intraoral approach	None
Bhullar et al[55]	2015	31	Pain in the left submandibular region associated with meals	6 mo	Transoral sialolithotomy	None
Akinyamoju and Adisa[32]	2015	44	Hard, painless, left floor of mouth swelling, moderate pain at mealtimes	1 yr	Removed non-surgically	None
Shahoon et al[56]	2015	55	Difficulty breathing and a foul-tasting mouth since 21 days previously with history of right submandibular swelling episodes	21 d	Surgical removal	None
Arslan et al[57]	2015	35	Recurrent pain, swelling, and redness in the left submandibular area	6 mo	Submandibular gland resection	None
Oliveira et al[58]	2016	30	Pain over the right floor of mouth and submandibular region	N/A	Excision of the right submandibular gland and stone via standard extraoral approach	None
Weinberg and Albers[59]	2016	38	Swelling at the submandibular region, pus from Wharton’s duct was noted	N/A	Excision	None
Gadve et al[60]	2016	25	Pain and swelling in the floor of mouth on the left side	1 mo	Remove the sialolith surgically	None
Goh et al[61]	2016	35	Left submandibular swelling, increasing pain, fever and discharge was noted	5 yr	Submandibulectomy with transcervical approach	None
Omezli et al[62]	2016	37	Painful and persistent purulent discharge from unilateral submandibular ducts	N/A	Intraoral approach	None
Lim et al[63]	2017	50	Right submandibular swelling, increased in size rapidly causing discomfort and pain	10 yr	Right submandibulectomy	None
Iwai et al[64]	2017	41	Right submandibular swelling several times	40 yr	Submandibular sialoadenectomy	None
Sakthivel et al[65]	2017	50	Recurrent pain and swelling in the right submandibular region	6 mo	Intraoral removal of stone	None
Rodrigues et al[33]	2017	45	Painless mass in the neck	3 yr	Removed without anesthesia or surgical excision	None
Singh et al[66]	2020	42	Swelling over right side of floor of mouth and pain during meals	2 yr	Sialolithotomy and marsupialization of Wharton's duct	None
Abraham et al[67]	2021	40	Hard mass beneath the tongue with occasional dull pain	N/A	Transoral surgical removal of the right submandibular calculus	None
Thong et al[68]	2021	25	Right submandibular swelling	2 wk	Excision of right submandibular gland	None
Kumar et al[69]	2021	28	Firm mass below the left angle of the mandible	4 yr	Excision of the left submandibular gland and stone via trans-cervical approach	None
Brooks et al[34]	2021	16&19	Firm, ovoid swelling in the floor of the mouth approximate to the left sublingual caruncle with thin, slightly pale overlying mucosa	N/A	Patient declined any additional diagnostic measures	None
Ungari et al[70]	2022	23	Painful swelling in the left side of the mouth floor	20 yr	Excision of the left submandibular gland and stone via trans-cervical approach	None
Mohsin et al[71]	2022	28	Moveable, firm, extensive non-tender swelling in the posterior floor of the mouth	15 yr	Incision of the right submandibular duct’s longitudinal axis and removed the stones	None