@article{LI2020, 
author = {Ruichun LI and Kaian JING and Lina WANG and Rui MA and Jie JING and Jian MA},
title = {Malformation of Wharton′s duct with multiple sialoliths: a case report and literature review},
year = {2020},
journal = {Journal of Prevention and Treatment for Stomatological Diseases},
volume = {28},
number = {2},
pages = {93-96},
keywords = {submandibular gland, Wharton’s duct, ductal stones, duct abnormalities, multiple sialoliths, differential diagnosis, arteriovenous malformation in the oral area, treatment, prognosis},
url = {https://www.sciopen.com/article/10.12016/j.issn.2096-1456.2020.02.006},
doi = {10.12016/j.issn.2096-1456.2020.02.006},
abstract = {ObjectiveTo explore the diagnosis and treatment of ductal malformations of the submandibular gland with multiple stones.MethodsA case of a malformation of Wharton′s duct with multiple sialoliths according to the clinical data, diagnosis and treatment of the patient was analyzed retrospectively.ResultsThe patient′s physical examination and CBCT showed a tumor on the left floor of the mouth. In this case, it was found that the mass was a malformation of Wharton′s duct with multiple sialoliths according to operative exploration. The postoperative pathological examination showed (left submaxillary) salivation gland tissue, duct dilation and duct epithelia hyperplasia, duct calculus, and a large number of lymphocytes proliferating around the duct; 1 month after the follow-up, the patient had healed well. Through literature review and analysis, it was found that cases of submandibular ductal malformation with multiple stones were rare and should be carefully differentiated from arteriovenous malformation at the base of the mouth. Calculi of the submandibular gland can be removed by incision through the oral submandibular duct or by combined resection of the submandibular gland and ductal calculi, and some smaller calculi can also be treated by endoscopy of the salivary gland.ConclusionIn cases of submandibular ductal malformation with multiple stones, intraoral and extraoral incisions should be performed simultaneously to remove the associated ductal stones.}
}