Transcervical approach to the removal of a deep-seated giant submandibular calculus and the submandibular gland

Goh, Liang Chye; Chitra, Banu Krishnan; Shaariyah, Mohd Mokhtar; Ng, Wei Siang Johnson

doi:10.1136/bcr-2016-217514

“…Compared to other salivary glands, the sublingual gland is easier to remove. However, a detailed knowledge of the anatomy of the head and neck is required [18]. Because the lingual nerve is adjacent to Wharton's canal, damage to this nerve is a common complication of surgical removal of stones in sialolithiasis [19].…”

Section: Anatomy and Clinical Significance Of Sublingual Glandmentioning

confidence: 99%

Anatomy and Clinical Significance Of Sublingual Gland

2023

Proceeding Book of 2nd International Conference on Recent Academic Studies ICRAS 2023

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Sublingual gland is the smallest of the salivary glands. This is located submucosally at the floor of the mouth just in front of the deep part of the submandibular gland. It is located on the lateral side of the frenulum linguae, close to the symphysis menti, leaning against sublingual fossa. This gland is responsible for 8% of salivary secretion. It contains acinar cells that secrete mucus as pri-mer. It begins to develop at week 8, approximately 2 weeks after the other salivary glands. Because of its location, glandula sublingualis is clinically important especially in cases of injury and infection in the anterior part of the sublingual region. Ranula is the most common cystic lesion of the sublingual gland and its treatment is complex for surgeons. Radical excision of the gland is the best treatment for oral and cervical ranula. The complexity of the anatomical structures that may be involved in lesions of this gland may lead to undesirable situations. It is clinically important to know the anatomy of the region in detail to prevent nerve damage and complications that may occur during surgery. These anatomical structures include submandibular duct, lingual nerve and sublingual artery.

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“…[4][5] Stone size can vary from less than 1 mm (microsialolith) (Demidov and Ripolovska, 2019) to giant ones, reaching 3.5 cm (Goh et al, 2016), 3.7 cm (Omezli et al, 2016), or even 5.5 cm (megasialolith) (Raksin et al, 1975). [6][7][8][9] For example, the case published in 2019 revealed that number of sialoliths in the intraglandular duct system of the submandibular gland specimen can reach 8 stones (Demidov and Ripolovska, 2019). 6 A lot of basic imaging techniques (unenhanced computed tomography [CT], magnetic resonance imaging [MRI], different Х-ray, ultrasonography, sialoendoscopy, and different sialography imaging techniques) for sialolith detection are applied around the globe (Rzymska-Grala et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

July’s 2021 Full Issue PDF

2021

J. Diagn. Treat. Oral Maxillofac. Pathol.

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Orthopantomography (OPG), which is also known as panoramic radiography, pantomography, and panoramic imaging, proved its efficacy in infection, trauma, jaw lesions, tumor cases, etc. Calcification of the soft tissues in perimaxillary and perimandibular regions can also be visualized on OPG images. Reports clearly showed sialolith occurrence in the parotid gland in 10%, in submandibular gland in 83%, and in sublingual and minor salivary glands in 7%. Typically, sialoliths are visualized on the panoramic radiographs as radiopaque lesions. They are of round or oval shape, cylindrical or irregularly-shaped calcifications. Only in limited cases, sialoliths can be X-ray negative. The research data shows -from 10 to 20% the salivary stones are radiolucent. Digital OPG combines a lot of advantages. In summary, digital orthopantomography proved its efficacy in diagnostics of sialoliths located in the submandibular gland and its duct. Simultaneously, OPG is more than useful for diagnosis establishment and control of treatment for neighboring specialties.

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“…[4][5] Stone size can vary from less than 1 mm (microsialolith) (Demidov and Ripolovska, 2019) to giant ones, reaching 3.5 cm (Goh et al, 2016), 3.7 cm (Omezli et al, 2016), or even 5.5 cm (megasialolith) (Raksin et al, 1975). [6][7][8][9] For example, the case published in 2019 revealed that number of sialoliths in the intraglandular duct system of the submandibular gland specimen can reach 8 stones (Demidov and Ripolovska, 2019). 6 A lot of basic imaging techniques (unenhanced computed tomography [CT], magnetic resonance imaging [MRI], different Х-ray, ultrasonography, sialoendoscopy, and different sialography imaging techniques) for sialolith detection are applied around the globe (Rzymska-Grala et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

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2021

J. Diagn. Treat. Oral Maxillofac. Pathol.

0

View full text Add to dashboard Cite

Orthopantomography (OPG), which is also known as panoramic radiography, pantomography, and panoramic imaging, proved its efficacy in infection, trauma, jaw lesions, tumor cases, etc. Calcification of the soft tissues in perimaxillary and perimandibular regions can also be visualized on OPG images. Reports clearly showed sialolith occurrence in the parotid gland in 10%, in submandibular gland in 83%, and in sublingual and minor salivary glands in 7%. Typically, sialoliths are visualized on the panoramic radiographs as radiopaque lesions. They are of round or oval shape, cylindrical or irregularly-shaped calcifications. Only in limited cases, sialoliths can be X-ray negative. The research data shows -from 10 to 20% the salivary stones are radiolucent. Digital OPG combines a lot of advantages. In summary, digital orthopantomography proved its efficacy in diagnostics of sialoliths located in the submandibular gland and its duct. Simultaneously, OPG is more than useful for diagnosis establishment and control of treatment for neighboring specialties.

show abstract

Transcervical approach to the removal of a deep-seated giant submandibular calculus and the submandibular gland

Cited by 7 publications

References 8 publications

Anatomy and Clinical Significance Of Sublingual Gland

Anatomy and Clinical Significance Of Sublingual Gland

July’s 2021 Full Issue PDF

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