Author/Authors :
Oliveira Santos, Jamyson State University of Piauí, Parnaíba, Brazil , Firmino, Brunna da Silva State University of Piauí, Parnaíba, Brazil , Santos Carvalho, Matheus State University of Piauí, Parnaíba, Brazil , Mendes, Jean de Pinho Surgery and Clinic Integrated Department - State University of Piauí, Parnaiba, Brazil , Novaes Teixeira, Lucas Department of Oral Pathology - Sao Leopoldo Mandic Institute and Research Center, Campinas, Sao Paulo, Brazil , Pereira de Castro Lopes, Sérgio Lúcio Department of Diagnosis and Surgery - Institute of Science and Technology - State University of Sao Paulo (UNESP), Sao José dos Campos, Brazil , Ferreira Costa, André Luiz Department of Orthodontics and Radiology - University of São Paulo City, Sao Paulo, Brazil , Santos Bezerra Pinto, Antonione Department of Morphology - Faculty of Medicine - Federal University of Ceará, Fortaleza, Brazil
Abstract :
Imaging examinations play an important role in the diagnosis of sialolithiasis, whose symptoms are initially confounded with other
diseases. The objective of the present case report is to highlight imaging and processing techniques as well as image analysis for the
preoperative assessment and planning of surgical interventions and adequate treatment of massive sialoliths. A 35-year-old
male patient presented complaining of pain in the submandibular region and purulent secretions from a lingual caruncle
with slightly increased volume in the region. Imaging examinations were ordered as follows: cone beam computed tomography,
ultrasonography, and three-dimensional reconstruction, including clinical evaluation. A final diagnosis of sialolithiasis was
established. Surgery was indicated and carried out by using a lateral transcervical approach for complete resection of the gland,
which was based on the calculation of the total volume of the sialolith, thus increasing the surgery’s success.
