DOI: https://doi.org/10.36347/sjmcr.2026.v14i11.038

Pages: 2586-2588

Salivary gland lithiasis is a common condition, most frequently affecting the submandibular gland. A "giant" calculus in this location defined as one exceeding 1.5 cm in size is rare. The clinical diagnosis is evident, typically presenting as a submandibular swelling that intensifies during meals, accompanied by induration of the floor of the mouth upon bimanual palpation. Imaging, primarily ultrasound and more importantly computed tomography (CT), allows a precise assessment of the lesion and measurement of the calculus size, which is essential for surgical planning. While conservative management or sialoendoscopy may be appropriate for smaller lithiasis, open surgery remains the treatment of choice for large calculi, despite the associated neurovascular risks specifically involving the lingual and hypoglossal nerves, as well as the facial artery.