DOI: 10.36347/sjmcr.2023.v11i12.007

Pages: 2094-2098

Introduction: Lithiasis is the most common salivary disease in adults. Most salivary stones (80% to 95%) produces in the submandibular gland, 5% to 20% in the parotid gland, while the sublingual gland and minor salivary glands account for no more than 2%. Isolated involvement of one gland is usual. Simultaneous lithiasis of both submandibular glands is less frequent. The objective of this study is to report our experience in the treatment of lithiasis of the bilateral submandibular gland. Observation: Mr. K. M, 68 years old, chronic smoking, consulted in emergency November 2023 at the Mohammed VI Oujda University Hospital, for bilateral submandibular swelling. This swelling has been developing for 10 years and increased in size during meals. The current history dates back to 1 month ago with the increase in the right submandibular mass associated with dysphagia. The clinical examination revealed a right and left submandibular swelling, presence of right inflammatory signs: warm mass, painful on palpation, fixed in the deep plane, with expression of pus from the Wharton orifice. Cervical CT scan injected with contrast product was in favor of bilateral sialadenitis on sialolithiasis complicated by submaxillary abscess on the right. Bilateral submandibulectomy with extraction the calculi is done via an external cervical. No post-operative complications were observed and the patient was discharged from the hospital after two days of hospitalization. Discussion: The family history of sialolithiasis suggests the search for a genetic or familial origin of bilateral lithiasis of the submandibular glands, if there is not an obvious or probable etiology. Conclusion: Bilateral submandibular lithiasis is a rare clinical event but one that must be researsh for even in cases of isolated submandibular lithiasis. Extraction of the calculation is made by radical submaxillectomy by cervical externally, and the results are satisfactory.