Tips & tricks for transoral approach for submandibular lithiasis (TASL)

E Carbonnel; M-K Le Roux; C Chossegros; U Scemama; N Graillon

doi:10.1016/j.jormas.2020.04.001

Tips & tricks for transoral approach for submandibular lithiasis (TASL)

J Stomatol Oral Maxillofac Surg. 2020 Dec;121(6):736-739. doi: 10.1016/j.jormas.2020.04.001. Epub 2020 Apr 14.

Authors

E Carbonnel¹, M-K Le Roux², C Chossegros², U Scemama³, N Graillon²

Affiliations

¹ Department of Oral and Maxillofacial Surgery, La Conception University Hospital, Aix-Marseille University, 147, boulevard Baille, 13005 Marseille, France. Electronic address: [email protected].
² Department of Oral and Maxillofacial Surgery, La Conception University Hospital, Aix-Marseille University, 147, boulevard Baille, 13005 Marseille, France.
³ Department of radiology, La Conception University Hospital, Aix-Marseille University, 147, boulevard Baille, 13005 Marseille, France.

PMID: 32302799
DOI: 10.1016/j.jormas.2020.04.001

Abstract

Introduction: Sialolithiases mainly affect the submandibular gland. More often, the lithiasis is large and located at the junction of the middle and the posterior third of the duct, in the hilum region. In such situation, transoral approach is recommended to avoid sialadenectomy because of its lower morbidity.

Tips and tricks: Because of our experience, with over 300 cases operated with this transoral approach, we have decided to describe the tips and tricks that can help the surgeon who operates large stones impacted in the hilum of the submandibulary gland.

Discussion: The benefits of these tips and tricks are exposed.

Conclusion: These keypoints can help to overcome intraoperative issues and save time.

Keywords: Minimal invasive surgery; Salivary lithiasis; Submandibular gland.

MeSH terms

Humans
Lithiasis*
Salivary Gland Calculi* / diagnosis
Salivary Gland Calculi* / surgery
Submandibular Gland / surgery