DR MOHAMMED IRFAN SHEIKH over 5 years ago

Passage of a Sialolith

An otherwise healthy 77-year-old woman was referred to our clinic with a 6-month history of dull pain on the right side of the tongue. Intraoral examination revealed a normal tongue. However, there was a visible sialolith emerging from Wharton's duct, with marked redness and swelling of the right sublingual caruncle (Panel A). The sialolith was easily removed with the use of tweezers, with a subsequent discharge of pus and normal saliva. The calcified stone measured approximately 1.6 cm in length (Panel B). At follow-up 1 week later, the patient was doing well, with normal salivary flow and without any residual tongue pain.