0:00

This was a, an example of a large stone located in the floor mouth.

0:06

And I think this one was relatively straightforward.

0:09

I think most people got this one. I kind of threw in an easy one,

0:12

but I wanted to make a point with this.

0:15

And this stone is right at the junction of the submandibular gland and the

0:19

posterior floor mouth.

0:20

So Morton's duct actually exits the hylo of the

0:24

submandibular gland. I'll look at it on this side here, I'll mag it up.

0:28

And then Morton's duct actually cross over over the free margin,

0:32

the mylohyoid muscle, and then runs in the floor of the mouth.

0:35

So one of the most common reasons you end up doing imaging,

0:39

especially in, in in general practice, so not necessarily in academic centers,

0:44

but in general practice, is that patients will present with a left,

0:47

with a neck mass, whether it's right or left sided.

0:50

So one thing that I always do is the first thing I I, you know,

0:53

I look for lymph nodes and if I don't see lymph nodes,

0:56

and I always have to take a really close look to see whether or not there's

0:59

something wrong with that submandibular gland. So in this case,

1:02

you can see there's a stone right here that submandibular gland is enlarged.

1:06

So this is due to, uh,

1:08

obstructive sil adenitis involving the left submandibular gland.

1:12

And if you look real closely, again,

1:13

you can sort of see what we saw in the probiotic glands where we can see some

1:18

dilatation right here of the small little, um,

1:23

ductal collecting systems in the submandibular gland.

1:26

So this is just a pretty straightforward case of a submandibular sili

1:31

associated with enlargement and obstructive sitis of the submandibular gland.

1:37

Any questions with that one?

1:39

Uh, is there any condition that you can read,

1:43

dispose the patient who have multiple s dss,

1:48

like any kind of disease or dehydration?

1:54

Yeah. Yeah,

1:55

I think dehydration would be a cause maybe if they were some type of calcium

1:59

producer. So in theory,

2:01

maybe if they had hyperparathyroidism or maybe if they had, um,

2:06

some other things that would predispose them to, um,

2:12

to be quote unquote a stone former. Um, that's the only thing I can think of.