eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2018-01-30 6 1 4 8 10.12691/ajmcr-6-1-2 AJMCR2018612 article Hesham Alowaimer 1 Tarek Kasem 1 Daij AL Daiji daij1401@gmail.com 1 Oral Surgery Department, Al-Rass General Hospital, Al-Rass, Saudi Arabia Submandibular salivary glands are commonly affected by sialolith (calculus),with patients suffering pain and swelling, especially at mealtime. Sialoliths and giant calculi larger than 15 mm are rarely reported. This case report presents a 28 mm sialolith which was removed successfully intraorally under local anesthesia (transoral approach; sialolithotomy). There were no complications either during the operation or postoperatively, and the salivary function of the gland remained normal. http://pubs.sciepub.com/ajmcr/6/1/2/ajmcr-6-1-2.pdf Sialolithiasis Submandibular swelling Sialoliths Salivary gland obstruction Minimally invasive surgery