Transfacial lithotomy approach to intraparenchymal stones in the submandibular gland: our primary exploration

L Xie; Y Pu; C Yu; X Zhang; L Zheng

doi:10.1016/j.bjoms.2021.03.008

Transfacial lithotomy approach to intraparenchymal stones in the submandibular gland: our primary exploration

Br J Oral Maxillofac Surg. 2022 Feb;60(2):201-203. doi: 10.1016/j.bjoms.2021.03.008. Epub 2021 Mar 26.

Authors

L Xie¹, Y Pu¹, C Yu¹, X Zhang², L Zheng³

Affiliations

¹ Department of Oral Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China; National Clinical Research Center of Oral Disease, Shanghai, China; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, China.
² Department of Oral Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China; National Clinical Research Center of Oral Disease, Shanghai, China; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, China. Electronic address: [email protected].
³ Department of Oral Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China; National Clinical Research Center of Oral Disease, Shanghai, China; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, China. Electronic address: [email protected].

PMID: 34774349
DOI: 10.1016/j.bjoms.2021.03.008

Abstract

The article describes our exploration of a sialendoscopy-assisted transfacial sialolithotomy approach to intraparenchymal stones in the submandibular gland with gland preservation. Five patients with large intraparenchymal stones in the submandibular gland were included. Ultrasonography and computed tomograms (CT) were performed to locate the stones. As the large stones failed to be retrieved during endoscopy, patients were treated by a transfacial lithotomy approach with sialendoscopy. The glands were preserved in all cases. This approach can be considered an optional technique for the treatment of large intraparenchymal stones in the submandibular gland that fail to be removed during a transoral procedure.

Keywords: Sialolithiasis; endoscopy-assisted sialolithotomy; gland preserve; intraparenchymal stones; transfacial.

MeSH terms

Endoscopy / methods
Humans
Salivary Gland Calculi* / diagnostic imaging
Salivary Gland Calculi* / surgery
Submandibular Gland / diagnostic imaging
Submandibular Gland / surgery
Submandibular Gland Diseases* / diagnostic imaging
Submandibular Gland Diseases* / surgery
Ultrasonography