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Submandibular gland function following transoral sialolithectomy
Oral Surgery, Oral Medicine, and Oral Pathology
|October 1, 1983
Summary
Transoral removal of salivary stones from the submandibular duct is effective. Most patients regain normal gland function after stone removal, making it the preferred treatment over gland excision.
Area of Science:
- Otolaryngology
- Surgical Pathology
- Medical Imaging
Background:
- Submandibular duct stones present a surgical dilemma.
- Treatment options include gland excision or transoral stone removal.
- The primary debate centers on potential irreparable glandular damage.
Purpose of the Study:
- To assess glandular recovery after transoral sialolithectomy.
- To evaluate the functional outcome of treating submandibular duct stones via transoral removal.
Main Methods:
- A clinical and scintigraphic study was conducted.
- Twenty-one consecutive patients with submandibular duct stones were included.
- Functional recovery was assessed post-transoral sialolithectomy.
Main Results:
- The majority of patients demonstrated a return to normal salivary gland function.
- Scintigraphic evaluation supported functional recovery.
- No significant long-term functional impairment was observed in most cases.
Conclusions:
- Transoral sialolithectomy allows for significant glandular recovery.
- This minimally invasive approach is the preferred treatment for submandibular duct stones.
- Gland excision is often unnecessary for stones located in the knee of the submandibular duct.