title: Robotic-assisted transoral removal of a submandibular megalith.
abstract: The majority of salivary stones are less than 8 mm in size and most frequently occur in the submandibular gland. Traditional management of larger stones involves gland resection. Sialendoscopy combined with an external or a transoral sialolithotomy, also called the combined approach technique, permits stone removal and gland preservation. A 31-year-old male presented to our service with a 20-mm megalith in the left submandibular gland. Here we report the first description of a combined approach using the da Vinci Si Surgical System to facilitate transoral stone removal and salivary duct repair.
authors.affiliation: Department of Otolaryngology/Head Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA. rwalve@lsuhsc.edu
authors.forename: Rohan R
authors.initials: RR
authors.lastname: Walvekar
authors.forename: Patrick D
authors.initials: PD
authors.lastname: Tyler
authors.forename: Neelima
authors.initials: N
authors.lastname: Tammareddi
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Peters
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D004724:Endoscopy / Q000295:instrumentation*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D012371:Robotics / Q000295:instrumentation*; D012465:Salivary Duct Calculi / Q000601:surgery*; D015494:Salivary Gland Calculi / Q000601:surgery*; D013364:Submandibular Gland Diseases / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*; D013525:Surgical Instruments