IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-8-16210 Original Research Paper An unusual case of self extrusion of a giant submandibular sialolith Suzanne Mathew Dr. August 2018 7 8 01 02 ABSTRACT

 Sialolithiasis is the commonest benign disease of salivary glands.It usually occurs in the duct,leading to obstruction of salivary outflow and its

associated consequences/symptoms.Of the salivary glands,the submandibular gland is the most frequently affected.Sialoliths usually measure
around 5mm in maximum diameter.Calculi measuring greater than 15mm are giant sialoliths and have been rarely reported in literature.Diagnosis
of calculi is based on history,examination and radiographic investigations.Management,which aims at the elimination of the calculus and
restoration of normal salivary flow,may be either medical or surgical,depending on the site and size of the sialolith,and the condition of the
gland.Self expulsion of a sialolith is an unusual occurrence.We report a rare case of a giant Wharton‘s duct sialolith with spontaneous extrusion into
the oral cavity.