title: Sialendoscopy for Sublingual Gland Sialolithiasis.
abstract: OBJECTIVE
  To present a unique series of sublingual gland sialolithiasis treated with sialendoscopy.
  
  
  METHODS
  A retrospective chart review of patients at a single tertiary care academic center undergoing sialendoscopy.
  
  
  RESULTS
  We present a series of 4 patients who presented with 1 episode each of sialadenitis without preceding postprandial symptoms. In each case, sialendoscopy identified the calculi embedded within the sublingual duct of Bartholin at its emptying point into Wharton's duct. The large size of the stones did not permit endoscopic removal, and transoral excision was performed via a floor of mouth incision. All patients recovered well with resolution of preoperative symptoms.
  
  
  CONCLUSIONS
  Sublingual gland sialolithiasis has a distinct presentation that is not associated with obstructive symptoms and may be successfully treated with a combined endoscopic and transoral approach. Sialendoscopy allows identification of the location of the sialolith to guide removal and helps identify stone fragments and additional stones remaining after sialolithotomy. Transoral resection of the sublingual gland in this scenario facilitates stone removal and may minimize long-term chance of ranula formation.
authors.affiliation: 1 Department of Otolaryngology, Head & Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Goodstein
authors.affiliation: 1 Department of Otolaryngology, Head & Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Galinat
authors.affiliation: 1 Department of Otolaryngology, Head & Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Curry
authors.affiliation: 1 Department of Otolaryngology, Head & Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Luginbuhl
authors.affiliation: 1 Department of Otolaryngology, Head & Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
authors.forename: David
authors.initials: D
authors.lastname: Cognetti
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D015494:Salivary Gland Calculi / Q000473:pathology* / Q000601:surgery*; D013361:Sublingual Gland; D016896:Treatment Outcome; D055815:Young Adult
keywords: sialadenitis; sialendoscopy; sialolithiasis; sublingual gland