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Tips & tricks for transoral approach for submandibular lithiasis (TASL)
E Carbonnel1, M-K Le Roux1, C Chossegros1
1Department of Oral and Maxillofacial Surgery, La Conception University Hospital, Aix-Marseille University, 147, boulevard Baille, 13005 Marseille, France.
Journal of Stomatology, Oral and Maxillofacial Surgery
|April 18, 2020
Summary
This study presents surgical tips for transoral removal of large submandibular sialolithiasis impacting the gland hilum. These techniques aim to reduce morbidity and improve outcomes for this common condition.
Area of Science:
- Otolaryngology
- Surgical Techniques
Background:
- Sialolithiasis commonly affects the submandibular gland, often presenting as large stones at the hilum.
- Transoral sialolithotomy is preferred over sialadenectomy for submandibular stones due to lower morbidity.
Purpose of the Study:
- To describe surgical tips and tricks for the transoral approach to large submandibular gland sialolithiasis.
- To share experience from over 300 successful transoral surgeries for impacted hilum stones.
Main Methods:
- Detailed description of surgical techniques for transoral removal of impacted submandibular sialolithiasis.
- Focus on managing large stones located at the hilum region of the submandibular gland.
Main Results:
- The transoral approach facilitates the management of large, impacted submandibular sialoliths.
- The presented tips and tricks aid in overcoming intraoperative challenges.
Conclusions:
- The described surgical tips enhance the efficacy of the transoral approach for submandibular sialolithiasis.
- Adoption of these keypoints can lead to reduced operative time and improved patient outcomes.

