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CASE REPORT Table of Contents   
Year : 2013  |  Volume : 24  |  Issue : 3  |  Page : 381-383
Submandibular swelling: Tooth or salivary stone?


1 Department of Specialist Surgical Sciences, ENT Clinic, University of Milan, IRCCS Foundation Ca` Granda Ospedale Maggiore Policlinico, Milan, Italy
2 Department of Surgical, Unit of Oral Pathology and Medicine, Reconstructive and Diagnostic Sciences, University of Milan, IRCCS Foundation Ca` Granda-Ospedale Maggiore Policlinico, Milan, Italy

Correspondence Address:
Pasquale Capaccio
Department of Specialist Surgical Sciences, ENT Clinic, University of Milan, IRCCS Foundation Ca` Granda Ospedale Maggiore Policlinico, Milan
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9290.118017

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Submandibular swelling is a common clinical disorder of the maxillo-facial region that may be one of the manifestation of several pathologic disorders including sialolithiasis. A 38-year-old woman experienced a recurrent painful swelling in the right submandibular region for seven years. The symptoms, not always meal-related, gradually became chronic and associated with dysphagia, odynophagia and fever. Ultrasonography of the salivary glands revealed a retained glandular structure and no ductal obstruction or dilatation, and orthopantomography showed the presence of a structure compatible with tooth, but these findings did not correlate with clinical scenario. Only CT dental scan identified the radiological image as a salivary stone. Sialolithiasis should always be considered in the diagnostic iter of painful submandibular swelling. A careful evaluation of recurrence and characteristics of signs and symptoms associated to the swelling can help in making the correct diagnosis and planning a proper therapeutic strategy.


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