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Standardization of Basket Use in Sialendoscopy: A Ten-Year Retrospective Study
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Accessory submandibular duct sialolithiasis identified during sialendoscopy.
Andrew J Thomas1, Kevin F Wilson
1Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Utah, 50 North Medical Dr., SOM 3C120, Salt Lake City, Utah 84132, USA.
Ear, Nose, & Throat Journal
|July 24, 2018
Summary
This case report details sialolithiasis (salivary stones) in an accessory submandibular duct, a rare finding diagnosed via sialendoscopy. Successful treatment involved endoscopic and intraoral removal of these stones.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Sialology
Background:
- Recurrent sialadenitis can significantly impact patient quality of life.
- Submandibular sialolithiasis is a common cause of sialadenitis, typically involving the main duct.
Observation:
- Computed tomography suggested extensive sialolithiasis in the main right submandibular duct.
- Sialendoscopy revealed a normal main duct but identified an accessory duct with significant sialolithiasis.
Findings:
- This is the first reported case of sialolithiasis within an accessory submandibular duct diagnosed during sialendoscopy.
- The condition was successfully treated using a combined endoscopic and intraoral approach.
Implications:
- Sialendoscopy is crucial for identifying accessory salivary ducts and their pathologies.
- Preoperative imaging may aid in planning surgical approaches for complex sialolithiasis cases.
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