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  • Title: Potential airway compromise secondary to impacted Wharton's duct calculus: a noteworthy phenomenon.
    Author: Van M, Gohil R, Gardiner Q.
    Journal: J Laryngol Otol; 2015 Jul; 129(7):721-4. PubMed ID: 26153841.
    Abstract:
    OBJECTIVES: This case report describes a patient who suffered an acute, severe complication of unilateral submandibular sialolithiasis, the disease process and management of these patients. CASE REPORT: A 70-year-old woman was under investigation for a recurrent, painful right submandibular swelling and subsequently presented with an acute exacerbation. She exhibited symptoms of acute submandibular sialadenitis, and also reported breathing difficulty and a change in voice quality. Computed tomography imaging showed that this was caused by a submandibular gland duct sialolith, with inflammation extending to the ipsilateral supraglottis. She was treated medically and the stone was removed when the inflammation had stabilised. CONCLUSION: This case highlights the need to thoroughly assess patients with neck swellings, especially when symptoms are atypical, to avoid life-threatening complications.
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