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Tuesday, December 15, 2009

Of Calculus And Wharton's Duct

No not that branch of mathematics. Its this weird mass of inorganic calcium and sodium phosphate salt deposited around some organic material. And of course, Wharton's Duct, referring to the 5cm long duct connected to the submandibular gland.

So, calculus in Wharton's Duct = Silolithiasis -> the formation of stones in the salivary glands

So, in short, I can't drool.

'cause it hurts when I do.

Wanna know how it feels? Ok, go drink 4 glass of water. And tie your weenie with a rubber band (er... for females, just block your peehole with anything)
"Aiya, remove it only la...."

Ok sure, I'll ask the doctor to do it =)

"WTF is dat???"

Notice the area circled in green. There is this red arrow pointing at a small spot. That is the calculus. And its located at the opening of the duct, just right above the glands =.=

So, solution is - surgical removal. Of the whole gland. Yes, I said the whole gland.

So according to google;
What are the possible problems?
Bleeding from the wound is unlikely to be a problem. If it occurs it usually does so within the first 12 hours of surgery which is why you need to stay in hospital overnight.
Infection is uncommon but if your surgeon thinks it may happen to you a short course of antibiotics will be prescribed.
Very rarely, a salivary fistula may occur in instances where the gland was partially removed.
Weakness of the corner of the mouth and lower lip may occur.
Bruising of the neck around and below the wound, especially, in the elderly.

What does nerve damage mean?
There are three nerves that lie close to the submandibular gland that can be damaged during its removal. Most nerve damage occurs as a result of bruising of the nerves since they are held out of the way and protected during surgery. If nerve damage occurs it is usually temporary. The following three nerves can be damaged all with varying results:
Weakness of the lower lip - a lower branch of the facial nerve (the marginal mandibular branch) is the nerve most likely to be bruised in the removal of a submandibular gland. If bruising occurs it affects the movement of your lower lip, leading to a slightly crooked smile.
Numbness of the tongue - the lingual nerve is rarely bruised. Since it is the nerve that supplies feeling to the side of the tongue bruising results in a tingly or numb feeling in the tongue, similar to the sensation after having an injection at the dentist. Loss of taste could also result from this injury.
Restricted tongue movement - the hypoglossal nerve is only very rarely bruised. It is a nerve that makes the tongue move and damage can therefore result in decrease of tongue movement.

Is permanent nerve damage possible?
In general, nerve damage is temporary, although it can take several months for them to recover. Permanent damage is possible and usually occurs in only the most difficult cases.

If a salivary gland is removed will I be left with a dry mouth?
The removal of one submandibular gland will not have an impact on the amount of saliva that you produce. There are many other salivary glands left in and around the mouth that will still keep it moist.
Weakness of the lower lip!!! WTF, gonna become like Rocky ar? "Butmm ain'tmmm aboutmm howmm hardmm youmm hitmmm..." =.=

Argh, I know the risk is low but, I'm a pussy and pussies run.

So, this is definitely a no. I'll wait and see if the calculus moves further up to the opening.

Unrelated to the above. Holiday sucks. No staring (yup you know who you are =.=) , No cocking, No studying, Nothing!!!

Sigh. Lets see if I can find something useful to do.

And Anila, happy now?


  1. Yes, dear, I am very happy. No, not very happy. It sucks that this Friday is cancelled. But you did update. =)
    Dude, you'd think that you'd be more upset about the restricted tongue movement. No more Desmond-esque uh, acrobatics.
    And screw you, Ian, you'd better tell us if you do get this surgery thing. Then we buy sunflowers for you. Yay.

  2. go prom =.= squeak. That'd be enough to cover for friday. And no, I'm not getting that surgery thing. I dislike knives