The Rationale: Sialoliths are calcified organic matter that form within the secretory system of the salivary glands. They rarely measure more than 1.5 cm. Giant sialoliths are rare and defined as a size of 3.5 cm or larger.
Patient Concerns: Patient complained of the pain and swelling in the right submandibular area for two years with increase in size during meals.
Diagnosis: Based on the clinical and radiological investigations.
Treatment: Sialolith measuring 39 mm and weighing 7.02 g, was removed in a minimally invasive manner through transoral sialolithotomy using diode 810 µm LASER unit under local anaesthesia.
Outcomes: Patient was relieved of the preoperative symptoms and was on follow-up for one year.
Take-away Lessons: Various newer treatment modalities are effective alternatives to conventional surgical treatment of sialoliths. However, transoral sialolithotomy remains the mainstay of management.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976846 | PMC |
http://dx.doi.org/10.4103/ams.ams_75_21 | DOI Listing |
World J Otorhinolaryngol Head Neck Surg
December 2024
Department of Otorhinolaryngology-Head and Neck Surgery, Suez University, Suez Royal Private Hospital Alexandria Egypt.
Objectives: Sialendoscopy has become the standard treatment for sialolithiasis; however, larger submandibular calculi may require an incisional technique. This study describes and evaluates an intraoral microscopic-assisted sialolithotomy (IMAS) as a refined submandibular stone extraction technique.
Methods: Retrospective case series of 64 submandibular IMAS procedures operated at a tertiary university center and private hospital from 2015 to 2021 were evaluated.
Laryngoscope
September 2024
Department of Otolaryngology-Head and Neck Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, U.S.A.
Transoral sialolithotomy performed in-office under local anesthesia is routinely performed for distal submandibular stones. We demonstrate the senior author's novel practice of in-office transoral sialolithotomy for hilar and intraglandular stones. A review of cases performed by the senior author revealed similar rates of complication and stone recurrence as those reported in the literature from removal under general anesthesia.
View Article and Find Full Text PDFEar Nose Throat J
June 2023
Department of Otolaryngology Head and Neck Surgery, Far Eastern Memorial Hospital, New Taipei.
Sialolithiasis is one of the most common diseases of salivary glands. More than 80% of the sialoliths occur in the submandibular gland. While most of the calculi are less than 10 mm in size, 7.
View Article and Find Full Text PDFJ Clin Med
April 2023
Department of Otorhinolaryngology and Oncological Laryngology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 41-800 Zabrze, Poland.
This study aimed to systematically review the literature to determine the efficacy and safety of transoral robotic surgery (TORS) in the management of submandibular gland (SMG) sialolithiasis. PubMed, Embase, and Cochrane were searched for English-language articles evaluating TORS in the management of SMG stones published up to 12 September 2022. Nine studies with a total of 99 patients were included.
View Article and Find Full Text PDFAnn Maxillofac Surg
December 2022
Department of Oral and Maxillofacial Surgery, The Malabar Dental College, Malappuram, Kerala, India.
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