A Large Calculus in the Parotid Duct

Nao Ishizaki; Chie Toyoda; Makiko Ono; Kazuhiro Hasegawa; Shigeo Tanaka; Masamichi Komiya; Takashi Kaneda; Toshiro Sakae; Takeshi Maeda; Teruyasu Hirayama; Yoshiaki Akimoto

doi:10.5466/ijoms.4.33

Case Reports

A Large Calculus in the Parotid Duct

Nao Ishizaki, Chie Toyoda, Makiko Ono, Kazuhiro Hasegawa, Shigeo Tanaka, Masamichi Komiya, Takashi Kaneda, Toshiro Sakae, Takeshi Maeda, Teruyasu Hirayama, Yoshiaki Akimoto

Author information

Nao Ishizaki
Departments of Oral Surgery, Nihon University School of Dentistry at Matsudo
Chie Toyoda
Departments of Oral Surgery, Nihon University School of Dentistry at Matsudo
Makiko Ono
Departments of Oral Surgery, Nihon University School of Dentistry at Matsudo
Kazuhiro Hasegawa
Departments of Oral Surgery, Nihon University School of Dentistry at Matsudo
Shigeo Tanaka
Departments of Oral Surgery, Nihon University School of Dentistry at Matsudo
Masamichi Komiya
Departments of Oral Surgery, Nihon University School of Dentistry at Matsudo
Takashi Kaneda
Departments of Radiology, Nihon University School of Dentistry at Matsudo
Toshiro Sakae
Departments of Histology, Cytology and Developmental Anatomy, Nihon University School of Dentistry at Matsudo
Takeshi Maeda
Departments of Neurological Surgery, Nihon University School of Dentistry at Matsudo
Teruyasu Hirayama
Departments of Neurological Surgery, Nihon University School of Dentistry at Matsudo
Yoshiaki Akimoto
Departments of Oral Surgery, Nihon University School of Dentistry at Matsudo

Keywords: large calculi, parotid gland, symptomless

JOURNAL FREE ACCESS

2005 Volume 4 Issue 1 Pages 33-37

DOI https://doi.org/10.5466/ijoms.4.33

Details

Abstract

We report a case of a large calculus in the parotid duct. A 61-year-old man was referred to us with a painless buccal mucosal swelling. Oral examination showed a hemispheric buccal mucosa swelling around the orifice of the parotid duct in the right cheek. The patient denied intermittent swelling and pain of the right parotid gland at mealtime. Salivary secretion was smooth from the orifice and there was no salivary fistula. An oblique radiograph of the right cheek revealed a single, well-defined, homogenous radiopaque mass. Computed tomography scanning showed a high-density mass, round with a 1-cm diameter. The calculus was removed by an oral approach under local anesthesia. The calculus was an irregular globule in shape, 1×1×1 cm in size, and yellowish white in color. Follow-up examination one year later was uneventful.

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