giant parotid stone causing mucosal ulceration and pus discharge: report of a rare case

Introduction: sialolith is the most common condition of the salivary gland disorders after mumps, which usually occurs in the submandibular gland. a rare case of giant parotid sialolith is described. case report: a 58-years-old man with a complaint of swelling in the buccal area referred to the department of oral medicine of the dental school of semnan university. a mild swelling was observed in the right cheek area in front of ramus during the extraoral examination. iintraoral evaluation revealed a 2.5 × 2 cm swelling with same color of the mucous membrane, adjacent to the maxillary first molar at the parotid papilla area, and with a stony-hard consistency. in the radiographic imaging, an estimated 18×6 mm homogenous opaque lesion was recognized; hence, the sialolith diagnosis was suggested. surgical removal with electrocautery was done and no complaints were reported one month after the surgery. conclusion: since giant sialolith can lead to complications which may affect patients’ quality of life, surgical treatment of such lesion is strongly recommended.