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Salivary stone disease, or calculous sialodenitis

Salivary stone disease (SCD), or calculous sialoadenitis, is one of the most common diseases of the large salivary glands, characterized by the formation of stones in the salivary glands and their ducts.

The incidence of coronary heart disease is about 30% of all non-neoplastic diseases of the salivary glands, or more than 50% of all cases of chronic sialoadenitis. At the same time SCG of the mandibular salivary glands (PNSHSZ) occurs in 98.2% of all patients with SKH, and in 52.0% of cases stones were found in the ducts of the PNShSZZ.


Symptoms of salivary stone disease :

  • inflammation of the salivary glands;

  • periodic salivary colic;

  • swelling of the salivary glands, which increases after eating;

  • pain in the salivary glands, which worsens with eating;

  • signs of concretion on computed tomography, ultrasound, etc.

Конкремент протоки слинної залози.JPG

Optimaltreatment tactics for salivary stone disease include surgical removal of the immediate cause of the disease (removal of stones) and mandatory restoration of normal saliva drainage. 

The scope and tactics of surgical intervention depends on:

  • localization of the calculus (in the duct or salivary gland) and its size;

  • morphofunctional changes in the salivary gland caused by the presence of stones;

  • type of affected salivary gland (submandibular, parotid, sublingual salivary gland).

Surgical treatment is possible with the use of local or general anesthesia.


Clinical case: Surgical removal of a submandibular salivary duct

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