Reporting a Rare Case of Obstructive Sialadenitis of Submandibular Gland Due to a Nail-like Fish Bone Foreign Body

Introduction: Foreign body-associated sialadenitis of the submandibular gland is uncommon and poorly reported in the literature. A diagnosis of a Nail-like fish bone foreign body entering the Wharton’s duct and causing acute sialadenitis is presented in this study. Foreign bodies must be investigated, and all suspicious areas must be thoroughly tested to prevent potential complications and surgeries. Since foreign body penetration is usually painful, reports of a foreign body entering the salivary gland intraorally via Wharton’s or Stensen’s duct are uncommon. After trauma and dental care, foreign bodies in the oral and maxillofacial area are common.
Case Report: We characterise a case of obstructive sialadenitis in the submandibular gland in a 68-year-old man caused by the penetration of a fish bone. In the left submandibular area, he had swelling and spontaneous pain. The radiographic examination of the submandibular gland revealed no foreign body. Initially, we diagnosed obstructive sialadenitis in the left submandibular gland, and the study suspects that a salivary stone may be the cause of the swelling, resulting in Wharton duct compression and milking. The foreign body was a nail-like structure that measured 1.3 cm * 3 mm* 2 mm. The foreign body was discovered to be a fish bone after pathological analysis (cartilage-like organic material).
Conclusion: This case showed that careful inspection and analysis, milking, and then paying attention to the secretion of the salivary gland contribute to accurate diagnosis and appropriate treatment, reducing the expense of assessment and treatment while also reducing the patient’s confusion. Finally, milking and paying attention to clarity (glassiness) and canescent of salivary gland secretion can help with proper diagnosis.

Author (s) Details

Dr. Rosa Mostafavi Tabatabaee
Department of Oral and Maxillofacial Medicine, Dental School of Mashhad University of Medical Science, Mashhad, Iran.

Dr. Majid Sanatkhani
Department of Oral and Maxillofacial Medicine, Dental School of Mashhad University of Medical Science, Mashhad, Iran.

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