Giant Sialolith: An Unusual Case Report and Review of Literature

Salivary gland/duct stones or sialoliths are calcifications that accumulate within the salivary gland parenchyma and associated ductal systems. They develop from mineralization of nidus including bacterial colonies, shed ductal epithelial cells and cell remnants, mucus plugs and foreign bodies. Giant salivary gland calculi (GSGC >35 mm) are considered rare. Only 16 welldocumented cases have been reported in the literature since 1942. The aim of this article is to present a case of surgical management of a giant sialolith accompanied by a review of the literature on giant sialoliths (3.5 cm or larger).