Submandibular Gland Excision: Short- and Long-Term Complications

Hald, John; Andreassen, U. K.

doi:10.1159/000276616

Cited by 88 publications

(55 citation statements)

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“…On the contrary to this, the sialolithiasis in the proximal of the Wharton's duct or sialolithiasis in the parenchyma of the submandibular gland, the excision of submandibular gland has been performed. In the excision of submandibular gland cases, injury of the marginal branch of facial nerve may occur in 12.5 % cases overall, and permanent injury may be also developed in 7% [6]. In addition, not only the problems of the formation of scar, alteration of dermal sensation, taste formation, also functional prolems such as the reduction of salivation.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Bilateral Submandibular Sialolithiasis

Kim

2012

J Med Cases

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Salivary calculi in the pediatric population comprise only 3% of all cases of sialolithiasis. In addition, the presentation of bilateral calculi in children is rare. Traditionally, the treatment for submandibular calculi in the proximal duct has been a sialadenectomy in spite of its risk. Recently, minimally invasive techniques have been reported, the Intraoral removal of calculi is useful for preservation of the submandibular gland and preserved gland can restore gland function to normal after stone removal. We would report the 15-year-old boy case with bilateral submandibular gland hilum sialolithiasis and the intraoral removal only stones.

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Section: Discussionmentioning

confidence: 99%

An Unusual Case of Bilateral Submandibular Sialolithiasis

Kim

2012

J Med Cases

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“…If the salivary stone is in the duct orifice, surgery to remove the salivary stone is performed using duct dilata tion, incision, or exposure. If it is in the duct proximal part or intra glandular portion, salivary gland extirpation is considered 24 . In particular, if the salivary stone is in the parotid gland, parotid gland extirpation not for the superficial layer but for the entire layer is done to prevent relapse 25 .…”

Section: Statisticsmentioning

confidence: 99%

Clinical, statistical and chemical study of sialolithiasis

Lim

Kim

et al. 2012

J Korean Assoc Oral Maxillofac Surg

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(J Korean Assoc Oral Maxillofac Surg 2012;38:44-9) Introduction: Sialolithes are initiated by localized deposition of calcified material in the salivary glands. And that may even cause various symptom especially swelling and pain. This study purposes to collect statistical data of sialolithiasis for clinical analysis. Materials and Methods: Among forty seven patients who have visited Seoul National University Dental Hospital during 2004-2009, patients' age, sex, location and size of stone, radiodensity of stone, symptom, surgical procedure were investigated. Statistical correlation between size, location, symptom was evaluated. Chemical composition was analyzed for 3 sialolithes. Results: The average age was 41.4 years. Sialolithiasis had slight female predilection (57.4%). Most cases occurred in the submandibular glands (91.5%). And most cases had radiopaque features (95.8%). The average size was 7.17 mm. The most frequent location of the stones were the duct orifice and the submandibular gland hilum (16 cases in each), followed by the middle part of the duct (n=8), the intraglandular area (n=4), and the proximal part of the duct (n=3). Eleven cases were asymptomatic. Thirty six cases had complaints of pain, swelling, hardness, and decrease in saliva flow (multiple symptoms). Various methods of surgery was performed. Two cases were self-removed. Thirty seven cases underwent pro cedure involving stone removal alone. Six cases underwent gland extirpation, and two cases underwent ductoplasty. Conclusion: There was no statistical correlation between size, location, and symptoms. Sialolith was composed of Ca (58.5-69.3%), P (30.7-35.7%), organic material, and trace inorganic material.

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“…4,5,6,7 Traditional method to remove stones present in the duct is by milking of the duct, in case of larger stones or stones present at the proximal end of the duct a surgical intervention might be required. 8 The surgical intervention of sialolith removal has increased probability of inducing fistula formation secondary to trauma caused during the procedure. Various techniques have been developed over the years to retrieve the stones while maintaining the patency of duct in case of superficial sialolith.…”

Section: Introductionmentioning

confidence: 99%