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IT IS ALWAYS interesting to note how extensive pathologic conditions may become before a patient is forced to obtain relief.
REPORT OF A CASE
This patient gave a typical history of swelling of the submaxillary gland, worse after eating, which had been intermittent for two years. A physician saw the patient two years before but told him that he did not do this type of work and failed to refer the patient to anyone who could help him.Examination revealed a swollen right submaxillary gland with marked swelling of Wharton's duct and an extensive area of stony hardness. A probe met a dead end 1 cm. from the ampulla, and there was purulent secretion from the duct after probing. The gland and duct on the other side were entirely normal.Under local anesthesia the duct was incised but, as may be imagined, the incision had to be enlarged several times.
RICE AH. CALCULUS MAJOR. Arch Otolaryngol. 1949;49(3):331. doi:10.1001/archotol.1949.03760090090007
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