Transoral Removal of Submandibular Stones

Abstract

Transoral removal should be the treatment of choice in patients with submandibular stones that can be palpated bimanually and localized by ultrasound within the perihilar region of the gland.

Carbon Dioxide Laser-assisted Giant Sialolith Removal from Wharton\'s Duct

“…The techniques for sialolithotomy were described by Combes et al, 2 Baurmash, 3 and Zenk et al 4 All of these techniques involve the identification of the lingual nerve, because it crosses over the submandibular duct at the region of the mandibular second molar. In our case, this was not required because the size of the sialolith was large enough that it could be palpated to be present just under the mucosa.…”

An Unusual Case of Bilateral Submandibular Sialolithiasis

“…Though incidence of sialolithiasis peaks in the third to sixth decades of life, only 3% of all cases, occur in children and sialolithiasis remains a rare cause of salivary dysfunction in pediatric populations [1][2][3][4].…”

“…The treatment outcome of extracorporeal shock wave lithotripsy for submandibular duct stones that account for 80 -90% of sialolithiasis has the tendency to be lower than for the parotid stone [4]. Sialendoscopy has advantages that it could diagnose other causatives of the obstruction of Wharton's duct such as stricture, torsion, and polyp and treat them, nonetheless, it has limitations for the cases with large size stones or the cases associated with acute sialoadenitis [5].…”

“…While the incidence of sialolithiasis peaks in middleaged adults, it is a rare condition among children [1][2][3][4]. Furthermore, bilateral sialolithiasis in the pediatric population is extremely rare.…”

A different approach in removal of proximal Wharton's duct stone: Case report

“…Although the most commonly used imaging techniques for the diagnosis of sialolithes are occlusive and panoramic graphs, ultrasonography (US) and sialography; recently can be benefited from computerized tomography (CT), magnetic resonance sialography and sialoendoscopy methods too (6). While transoral approach is preferred for the treatment of the stones observed close to the perihilar region of the gland or mouth floor, submandibular gland excision treatment is used for the stones inside proximal duct or parenchyma (7). We aimed to approach with a different surgical technique to stone excision far from orifice in Wharton duct.…”