Huge Sialolith in Submandibular Wharton Canal

Open Access
Austin Journal of Otolaryngology
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Huge Sialolith in Submandibular Wharton Canal
Demir MG1*, Aydin S2 and Demir HO3
Department of ENT, Prof. Dr. Celal Ertuğ Etimesgut
State hospital, Turkey
2
Department of ENT, Dr. Lutfi Kirdar Kartal education
and research hospital, Turkey
3
Department of Anesthesiology, Yıldırım beyazit
university, Turkey
1
*Corresponding author: Demir Mehmet Gökhan,
Department of ENT, Prof. Dr. Celal Ertuğ Etimesgut State
Hospital, Ankara-Turkey
Received: July 23, 2015; Accepted: August 05, 2015;
Published: August 07, 2015
Thirty three years old male patient attended to
Otorhinolaryngology outpatient clinic with a complaint of swelling
on his left submandibular region. According to physical examination
a huge canalicular calculi which is palpated, also detected on
ultrasonography.
Figure 1.
Question: What can be the treatment method for this patient?
Answer: Although the calculi is huge and obstructed the canal,
we perform intraoral sialolithotomy. This surgical procedure can be
done via incision to floor of the oral mucosa and taking out the calculi
by manipulation (Figures 1,2). This method can be done under local
anesthesia and is gland sparing [1]. We encourage this method in
wharton canal calculi safely.
Figure 2.
Reference
1. Eun YG, Chung DH, Kwon KH. Advantages of intraoral removal over
submandibular gland resection for proximal submandibular Stones: a
prospective randomized study. Laryngoscope. 2010; 120: 2189-2192.
Austin J Otolaryngol - Volume 2 Issue 6 - 2015
ISSN : 2473-0645 | www.austinpublishinggroup.com
Demir et al. © All rights are reserved
Citation: Demir MG, Aydin S and Demir HO. Huge Sialolith in Submandibular Wharton Canal. Austin J
Otolaryngol. 2015;2(6): 1050.