Sialolithiasis giant of the submandibular gland treated by surgical excision: case report

The giant sialoliths are defined as those that exceed 15 mm in one of their dimensions. In an asymptomatic context the location in the body of the submandibular gland has been frequently described. Giant sialoliths of more than 20 mm are rare. We report the case of a 67-year-old woman who gradually developed duct's hilum sialolithiasis on a non-functional gland that led to submandibulectomy. Careful diagnosis helps to make a reasonable choice of surgical technique. Surgery should be performed with the minimal invasive method to avoid complications associated with surgical techniques.