Transoral submandibulotomy for deep hilar submandibular gland sialolithiasis

Abstract

4. Laryngoscope, 127:2038-2044, 2017.

Multimodal treatment in difficult sialolithiasis: Role of extracorporeal shock‐wave lithotripsy and intraductal pneumatic lithotripsy

“…Single stones may be located far proximally or even intraparenchymally. In these cases, stones may not be adequately accessible, if at all, with the sialendoscope (SMG, PG), and may not be treatable with other methods such as transoral duct surgery (SMG) . The stones can be fragmented, disintegrated, and mobilized into the more distal duct system, and may then be accessed with the sialendoscope.…”

“…In these cases, stones may not be adequately accessible, if at all, with the sialendoscope (SMG, PG), and may not be treatable with other methods such as transoral duct surgery (SMG). 34 The stones can be fragmented, disintegrated, and mobilized into the more distal duct system, and may then be accessed with the sialendoscope. In the present study, sialoliths were converted from sialendoscopically untreatable cases to sialendoscopically treatable in nearly 95% of all patients after ESWL, which may be the consequence of its performance with a relative high level of intensity and number of strikes through all procedures without significant differences between glands (Supporting Tables SI and SII, available online).…”

Noninvasive treatment for chronic sialadenitis: Case report

“…This indicates the importance of complete purification of the gland and associated ducts. General anesthesia is required for submandibulectomy, and nerve weakness and scar formation are possible to occur …”

“…General anesthesia is required for submandibulectomy, and nerve weakness and scar formation are possible to occur. 9 Clinical examinations along with panoramic and occlusal views can assist the clinicians in the process of diagnosis. However, some researchers have recommended the application of more imaging techniques such as ultrasound, computed tomography, CBCT, and contrast sialography.…”

Transcervical Removal of a Rare Giant Proximal Wharton’s Duct Sialolith and Submandibular Gland

“…[24] Worldwide, significant numbers of patients with giant sialoliths are treated by resection of the submandibular gland. [2] Conventionally, if the gland has been damaged by recurrent infection, obstruction and fibrosis or calculi have developed within the gland, and the structural damage acquired predisposes the gland to chronic disease and frequent impairment of the gland may necessitate removal. [17,25] Majority of symptomatic intra-glandular sialoliths or larger sialoliths embedded in the gland which is inaccessible via a tran-soral approach entail surgical excision of the total gland.…”