Submandibular gland stones, a clinical review.
The purpose of this study is to highlight the role of per-oral extraction of submandibular calculi in the management of salivary sialadenitis. This study was based on a retrospective review of patients presenting with submandibular sialadenitis over a 5-year period. 26 patients presented with a history of sialadenitis, with a palpable stone in the floor of the mouth and were considered candidates for surgery. 21 (80%) underwent per-oral extraction using marsupialization of the duct to maintain duct patency. 4 (15%) were deemed unsuitable when assessed under general anaesthesia due to inaccessible calculi. 2 (9%) of the 21 patients that underwent per-oral extraction required gland excision, due to persistence of symptoms. The remaining 19 (91%) are symptom free with a mean follow-up of 18 months. There were no neurological post-operative sequelae in the group. 1 patient had no surgical intervention at the end. In conclusion, per-oral extraction of submandibular salivary calculi is a safe method of relieving symptoms due to sialadenitis in patients with palpable accessible calculi in the floor of the mouth.
Al Chalabi
H
H
Department of Otolaryngology Royal Victoria Eye & Ear Hospital, Adelaide road, Dublin 2. hasan_chalabi@hotmail.com
Walshe
P
P
Curran
A
A
D006782:Hospitals, Special; D006801:Humans; D007494:Ireland; D012189:Retrospective Studies; D012449:Safety; D015494:Salivary Gland Calculi / Q000473:pathology / Q000601:surgery*; D013363:Submandibular Gland / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome