Skip to main content

Sialolithiasis

  • Chapter
Oralpathologie I
  • 39 Accesses

Zusammenfassung

Die Sialolithiasis stellt eine sehr häufige Erkrankung besonders der großen Speicheldrüsen dar. Speichelsteine kommen überwiegend bei Erwachsenen in der 3. – 6. Lebensdekade vor, wobei eine deutliche Geschlechtsdisposition mit einer höheren Frequenz bei Männern im Vergleich zu den Frauen vorliegt (Seifert 1966; Seifert et al. 1984). Kinder und Jugendliche sind dagegen nur selten (in ca. 5%) betroffen (Buchta 1980). Die Sialolithiasis ist meist nur in einer Speicheldrüse entwickelt, wobei jedoch in etwa 5% der Fälle auch ein extraorales Steinleiden der Gallenwege oder Niere vorliegen kann. Der gleichzeitige Befall mehrerer Speicheldrüsen ist sehr selten (Perrotta et al. 1978). Bezüglich der Lokalisation entfallen 80% der Speichelsteine auf das Gangsystem der Subman-dibularis (Abb. 112 – 114; Toida et al. 1993); 10% sind in der Parotis lokalisiert, die übrigen 10% in der Sublingualis und den kleinen Speicheldrüsen besonders der Oberlippe und Wange. Es muß jedoch angenommen werden, daß eine Sialolithiasis der kleinen Speicheldrüsen wesentlich häufiger ist (Jensen et al. 1979; Holst 1971; Eversole u. Sabes 1971), jedoch infolge der fehlenden oder geringfügigen klinischen Symptomatik nicht diagnostiziert wird.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Anneroth G, Eneroth CM, Isacsson G (1975 a) Crystalline structure of salivary calculi. A micro-radiographic and microdiffractometric study. J Oral Pathol 4:266 – 272

    Article  PubMed  CAS  Google Scholar 

  • Anneroth G, Eneroth CM, Isacsson G (1975 b) Morphology of salivary calculi. The distribution of the inorganic component. J Oral Pathol 4:257 – 265

    Article  PubMed  CAS  Google Scholar 

  • Blatt IM (1964) Studies in sialolithiasis. Pathogenesis, diagnosis and treatment. South Med J 57:723 – 729

    Article  PubMed  CAS  Google Scholar 

  • Buchta RM (1980) Submandibular salivary gland calculus. Clin Pediatr 19:582

    Google Scholar 

  • Burstein LS, Boskey AL, Tannenbaum PJ, Posner AS, Mandel ID (1979) The crystal chemistry of submandibular and parotid salivary gland stones. J Oral Pathol 8:284 – 291

    Article  CAS  Google Scholar 

  • Epivatianos A, Harrison JD (1989) The presence of microcalculi in normal human submandibular and parotid salivary glands. Arch Oral Biol 34:261 – 265

    Article  PubMed  CAS  Google Scholar 

  • Epivatianos A, Harrison JD, Garrett JR, Davies KJ, Senkus R (1986) Ultrastructural and histo-chemical observations on intracellular and luminal microcalculi in the feline sublingual salivary gland. J Oral Pathol 15:513 – 517

    Article  PubMed  CAS  Google Scholar 

  • Epivatianos A, Harrison JD, Dimitriou T (1987) Ultrastructural and histochemical observations on microcalculi in chronic submandibular sialadenitis. J Oral Pathol 16:514 – 517

    Article  PubMed  CAS  Google Scholar 

  • Eversole LR, Sabes WR (1971) Minor salivary duct changes due to obstruction. Arch Otolaryngol 94:19 – 24

    PubMed  CAS  Google Scholar 

  • Harrill JA, King JS, Boyce WH (1959) Structure and composition of salivary calculi. Laryngoscope 69:481 – 492

    Article  PubMed  CAS  Google Scholar 

  • Harrison JD, Epivatianos A (1992) Production of microliths and sialadenitis in rats by a short combined course of isoprenaline and calcium gluconate. Oral Surg Oral Med Oral Pathol 73:585 – 590

    Article  PubMed  CAS  Google Scholar 

  • Harrison JD, Triantafyllou A, Baldwin D, Schäfer H (1993 a) Histochemical and biochemical determination of calcium in salivary glands with particular reference to chronic submandibular sialadenitis. Virchows Arch A Pathol Anat 423:29 – 32

    Article  CAS  Google Scholar 

  • Harrison JD, Triantafyllou A, Garrett JR (1993 b) The effects of obstruction and secretory stimulation on microlithiasis in salivary glands of cat: light and electron microscopy. Virchows Arch B Cell Pathol 64:29 – 35

    Article  CAS  Google Scholar 

  • Harrison JD, Triantafyllou A, Garrett JR (1993 c) Ultrastructural localization of microliths in salivary glands of cat. J Oral Pathol Med 22:358 – 362

    Article  PubMed  CAS  Google Scholar 

  • Holst E (1971) The clinical entity of sialolithiasis of the minor salivary glands. Acta Odontol Scand 29:75 – 84

    Article  PubMed  CAS  Google Scholar 

  • Immenkamp M, Seifert G (1969) Zur Pathogenese der experimentellen Speicheldrüsen-Calci-phylaxie. Virchows Arch A Pathol Anat 347:211 – 224

    Article  PubMed  CAS  Google Scholar 

  • Isacsson G, Hammarström L (1983) An enzyme histochemical study of human salivary duct calculi. J Oral Pathol 12:217 – 222

    Article  PubMed  CAS  Google Scholar 

  • Isacsson G, Isberg A, Haverling M, Lundquist PG (1984) Salivary calculi and chronic sialadenitis of the submandibular gland: A radiographic and histologic study. Oral Surg Oral Med Oral Pathol 58:622 – 627

    Article  PubMed  CAS  Google Scholar 

  • Jensen JL, Howell FV, Rick GM, Corell RW (1979) Minor salivary gland calculi. A clinicopathol-ogic study of forty-seven new cases. Oral Surg Oral Med Oral Pathol 47:44 – 50

    Article  PubMed  CAS  Google Scholar 

  • Leung SW, Draus FJ (1962) The calcium binding characteristics of a salivary gland mucoid. Arch Oral Biol 7:327 – 332

    Article  PubMed  CAS  Google Scholar 

  • Maskow H (1976) Ungewöhnlicher Sialolith der Glandula submandibular is. Z Laryngol Rhinol 55:237 – 238

    CAS  Google Scholar 

  • Perrotta RJ, Williams JR, Seife RW (1978) Simultaneous bilateral parotid and submandibular gland calculi. Arch Otolaryngol 104:469 – 470

    PubMed  CAS  Google Scholar 

  • Sakae T, Yamamoto Y, Hirai G (1981) Mode of occurrence of brushite and whitlockite in a sialolith. J Dent Res 60:842 – 844

    Article  PubMed  CAS  Google Scholar 

  • Sakuma Y, Mori M (1992) Experimental calcification in rat submandibular gland. Cell Mol Biol 38:413 – 427

    PubMed  CAS  Google Scholar 

  • Schäfer H (1979) Zellcalcium und Zellfunktion. Fischer, Stuttgart New York

    Google Scholar 

  • Scott J (1978) The prevalence of consolidated salivary deposits in the small ducts of human submandibular glands. J Oral Pathol 7:28 – 37

    Article  PubMed  CAS  Google Scholar 

  • Seemann N (1969) Pathohistologische Untersuchungen zur Häufigkeit der Sialolithiasis und Sialadenitis der Parotis. HNO-Wegweiser 17:3 – 8

    CAS  Google Scholar 

  • Seifert G (1966) Mundhöhle, Mundspeicheldrüsen, Tonsillen und Rachen. In: Doerr W, Uehlinger E (Hrsg) Spezielle pathologische Anatomie, Bd 1. Springer, Berlin Heidelberg New York, S 195 – 197

    Google Scholar 

  • Seifert G, Miehlke A, Haubrich J, Chilla R (1984) Speicheldrüsenkrankheiten. Pathologie-Klinik-Therapie-Fazialischirurgie. Thieme, Stuttgart New York

    Google Scholar 

  • Seifert G, Mann W, Kastenbauer E (1992) Sialolithiasis. In: Naumann HH, Helms J, Herberhold C, Kastenbauer E (Hrsg) Oto-Rhino-Laryngologie in Klinik und Praxis, Bd 2. Thieme, Stuttgart New York, S 729 – 732

    Google Scholar 

  • Selye H (1962) Calciphylaxie. Chicago University Press, Chicago

    Google Scholar 

  • Skurk A, Hesse A, Schmidt A, Fendel K (1972) Infrarotspektroskopische Untersuchungen von Speichelsteinen. Z Laryngol Rhinol 51:446 – 450

    CAS  Google Scholar 

  • Skurk A, Winnefeld K, Tiedt J-J, Schmidt A, Fendel K (1973) Spurenelemente in Speichelsteinen. Die Bestimmung von Ca, Mg, Cu, Zn, Mn und P. Z Laryngol Rhinol 52:822 – 824

    CAS  Google Scholar 

  • Slomiany BL, Murty VLN, Aono M, Slomiany A, Mandel ID (1982) Lipid composition of the matrix of human submandibular salivary gland stones. Arch Oral Biol 27:673 – 677

    Article  PubMed  CAS  Google Scholar 

  • Slomiany BL, Murty VLN, Aono M, Slomiany A (1983) Lipid composition of human parotid salivary gland stones. J Dent Res 62:866 – 869

    Article  PubMed  CAS  Google Scholar 

  • Takeda Y (1986) Crystalloids with calcareous deposition in the parotid gland: one of the possible causes of development of salivary calculi. J Oral Pathol 15:459 – 461

    Article  PubMed  CAS  Google Scholar 

  • Takeda Y, Ishikawa G (1983) Crystalloids in salivary duct cysts of the human parotid gland. Scanning electron microscopical study with electron probe X-ray microanalysis. Virchows Arch A Pathol Anat 399:41 – 48

    Article  CAS  Google Scholar 

  • Toida M, Watanabe F, Ishimura J-I, Handa Y, Tatematsu N, Oka N (1993) A large submandibular sialolith in an asymptomatic patient. Hosp Dent (Tokyo) 5:52 – 53

    Google Scholar 

  • Triantafyllou A, Harrison JD, Garrett JR (1993 a) Microliths in normal salivary glands of cat investigated by light and electron microscopy. Cell Tissue Res 272:321 – 327

    Article  PubMed  CAS  Google Scholar 

  • Triantafyllou A, Harrison JD, Garrett JR (1993 b) Analytical ultrastructural investigation of microliths in salivary glands of cat. Histochem J 25:183 – 190

    Article  PubMed  CAS  Google Scholar 

  • Triantafyllou A, Harrison JD, Garrett JR (1993 c) Production of salivary microlithiasis in cats by parasympathectomy: light and electron microscopy. Int J Exp Pathol 74:103 – 112

    PubMed  CAS  Google Scholar 

  • Westhofen M, Schäfer H, Seifert G (1984) Calcium redistribution, calcification and stone formation in the parotid gland during experimental stimulation and hypercalcaemia. Cytochemical and X-ray microanalytical investigations. Virchows Arch A Pathol Anat 402:425 – 438

    Article  CAS  Google Scholar 

  • Yamamoto H, Sakae T, Takagi M, Otake S, Hirai G (1983) Wedellite in submandibular gland calculus. J Dent Res 62:16 – 19

    Article  PubMed  CAS  Google Scholar 

  • Yamamoto H, Sakae T, Takagi M, Otake S (1984) Scanning electron microscopic and X-ray microdiffractometric studies on sialolithcrystals in human submandibular glands. Acta Pathol Jpn 34:47 – 53

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Seifert, G. (1996). Sialolithiasis. In: Seifert, G. (eds) Oralpathologie I. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-61153-7_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-61153-7_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64720-8

  • Online ISBN: 978-3-642-61153-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics