Diagnosis
In the study, ultrasonography and computed tomograms (CT) were utilized effectively to identify the location of large intraparenchymal stones before proceeding with surgical techniques [PMID:34774349].
Management
Five patients with large intraparenchymal stones in the submandibular gland were treated successfully using a transfacial approach with sialendoscopy, preserving gland function in all cases [PMID:34774349].
In a study of 84 cases including 61 submandibular cases, the overall success rate for stone removal using sialendoscopy combined with pneumatic lithotripsy was 91.6% [PMID:34049458].
The immediate success rate for treating 111 stones was 84.6%, with an overall success rate of 93.7%, indicating effectiveness across various stone sizes [PMID:34049458].
Complications
All patients treated with the transfacial lithotomy approach maintained gland preservation without noted complications, suggesting a favorable safety profile [PMID:34774349].
Prognosis & Follow-up
Success criteria included complete stone removal and symptom resolution, suggesting positive patient outcomes following the procedure [PMID:34049458].
References
1 Xie L, Pu Y, Yu C, Zhang X, Zheng L. Transfacial lithotomy approach to intraparenchymal stones in the submandibular gland: our primary exploration. The British journal of oral & maxillofacial surgery 2022. link 2 Şengör GA, Bilgili AM. A Novel Approach for the Treatment of Sialolithiasis that Preserves Salivary Duct Anatomy. The Annals of otology, rhinology, and laryngology 2022. link
2 papers cited of 3 indexed.