Archivio dell'Università Alfonso X El Sabio

The key role of magnetic resonance sialography in the differential diagnosis between sialolith and phlebolith of the floor of the mouth

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https://hdl.handle.net/20.500.12080/50890
dc.contributor.author Sánchez Barrueco, Álvaro
dc.contributor.author Díaz Tapia, Gonzalo
dc.contributor.author Guerra Gutiérrez, Félix
dc.contributor.author Elena, Salvador Álvarez
dc.contributor.author Villacampa Aubá, José Miguel
dc.date.accessioned 2025-11-07T15:09:04Z
dc.date.available 2025-11-07T15:09:04Z
dc.date.created 2025
dc.date.issued 2025
dc.identifier.uri https://hdl.handle.net/20.500.12080/50890
dc.description Background The confusion between a phlebolith and a sialolith in the floor of the mouth can pose serious surgical risks, making it essential to define appropriate complementary imaging studies. Case presentation We present the case of a patient with right submandibular sialolithiasis suspected by computed tomography. A previous attempt at extraction in another centre, under local anesthesia, was interrupted due to profuse bleeding, preventing the localization and removal of the calculi. Due to our pre-surgical study protocol using magnetic resonance sialography (MR-Si), a low-flow vascular malformation with internal phleboliths was revealed, without involvement of the salivary duct. As a result, the planned sialendoscopy was cancelled, and a follow-up approach was chosen given the asymptomatic nature of the condition. Conclusions This case underscores the importance of standardizing radiological studies for salivary gland and floor of-mouth pathology, highlighting MR-Si for its high sensitivity and specificity. Therefore, MR-Si enables more precise surgical planning and helps prevent unnecessary intraoperative complications es_ES
dc.format application/pdf es_ES
dc.language eng es_ES
dc.publisher BMC es_ES
dc.rights CC-BY es_ES
dc.rights.uri http://creativecommons.org/licenses/by/4.0/deed.es es_ES
dc.source BMC Oral Health es_ES
dc.title The key role of magnetic resonance sialography in the differential diagnosis between sialolith and phlebolith of the floor of the mouth es_ES
dc.type Artículo es_ES
dc.description.curso 2025 es_ES
dc.rights.accessrights info:eu-repo/semantics/openAccess es_ES
dc.identifier.location N/A es_ES


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