J Korean Assoc Oral Maxillofac Surg.  2017 Jun;43(3):182-185. 10.5125/jkaoms.2017.43.3.182.

Removal of submandibular calculi by surgical method and hydraulic power with curved needle: a case report

• Cho SH
• Han JD
• Kim JH
• Lee SH
• Jo JB
• Kim CH
• Kim BJ

• KMID: 2386364
• DOI: http://doi.org/10.5125/jkaoms.2017.43.3.182

Abstract

Sialolithiasis, the most common salivary gland pathology, is caused by calculi in the gland itself and its duct. While patients with small sialoliths can undergo conservative treatment, those with standard-size or larger sialoliths require sialolithotomy. In the present case study, we removed two sialoliths located beneath the mucosa in the posterior and anterior regions of Wharton's duct, respectively. For the posterior calculus, we performed sialolithotomy via an intra-oral approach; thereafter, the small anterior calculus near the duct orifice was removed by hydraulic power. This method has not previously been reported. There were no complications either during the operation or postoperatively, and the salivary function of the gland remained normal.

Keyword

Salivary gland calculi; Sialolithiasis; Sialoliths; Submandibular gland; Hydraulic power

MeSH Terms

Calculi*
Humans
Methods*
Mucous Membrane
Needles*
Pathology
Salivary Ducts
Salivary Gland Calculi
Salivary Glands
Submandibular Gland

Figure

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  Fig. 1 Preoperative radiographs showing 2 sialoliths. Arrows presenting radiopaque structures.

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  Fig. 2 Intraoperative photograph showing removal of sialolith from Wharton's duct.

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  Fig. 3 Excised sialolith.

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  Fig. 4 Curved 18-gauge needles.

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  Fig. 5 Intraoperative photographs showing successful sialolith removal by hydraulic power.

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  Fig. 6 Postoperative radiographs showing no sialoliths.

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