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Related Experiment Video

Updated: Jan 28, 2026

Retroductal Nanoparticle Injection to the Murine Submandibular Gland
07:45

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Sonolocation during submandibular sialolithotomy.

Nahir J Romero1, Andrew Fuson1, Christopher R Kieliszak2

  • 1The Division of Otolaryngology-Head and Neck Surgery, George Washington University, Washington, DC.

The Laryngoscope
|February 26, 2019
PubMed
Summary
This summary is machine-generated.

Ultrasound effectively guides submandibular gland sialolithotomy for salivary stones, achieving a 90% success rate with minimal complications. This imaging technique ensures precise localization of calculi during the transoral sialolithotomy procedure.

Keywords:
Sonolocationcalculisalivary glandssialolithiasissialolithotomysubmandibular glandtreatment

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Area of Science:

  • Otolaryngology
  • Medical Imaging
  • Surgical Procedures

Background:

  • Salivary gland pathology, including sialadenitis and sialolithiasis, affects numerous patients.
  • Transoral sialolithotomy is a common surgical approach for removing salivary stones.
  • Accurate localization of calculi is crucial for successful sialolithotomy, especially when stones are not easily palpable.

Purpose of the Study:

  • To evaluate the efficacy of ultrasound in localizing sialoliths during submandibular gland transoral sialolithotomy.
  • To assess the success rates and complication profiles associated with ultrasound-guided sialolithotomy.

Main Methods:

  • A retrospective case series was conducted using data from 2009 to 2016 at a tertiary academic center.
  • 164 patients with sialadenitis and sialolithiasis underwent submandibular gland transoral sialolithotomy.
  • Ultrasound was employed for intraoperative localization of sialoliths.

Main Results:

  • The procedure was successful in 90% (147 patients) of cases.
  • Complications were infrequent, with stricture formation in 3% and ranula formation in 1.8% of patients.
  • No instances of lingual nerve injury were reported.

Conclusions:

  • Ultrasound is a highly effective tool for precise intraoperative localization of sialoliths.
  • Ultrasound-guided sialolithotomy offers a safe and successful treatment option for submandibular gland stones.