Korean J Otorhinolaryngol-Head Neck Surg.  2007 Dec;50(12):1135-1140.

The Surgical Managements for the Stone in the Hilum of the Submandibular Gland

• Choi DI
• Oh JK
• Yang YS
• Hong KH

Abstract

BACKGROUND AND OBJECTIVES: Transcervical submandibular gland excision has been commonly used for the treatment of stone in the hilum and intraglandular of SMG because of surgical difficulty. This study introduces a surgical approach without unnecessary submandibular or cervical resection.
SUBJECTS AND METHOD
27 patients who had stones in the hilum and internal area of SMG were treated at our department during the past one year.
RESULTS
All stones were removed through intraoral approach without transcervical submandibular gland excision for all patients. For 18 patients with poor surgical field, the sublingual gland was removed before the removal of stone. Although a long term follow-up observation was not carried out, SMG hypertrophy was alleviated as time went by. No recurrence had been found so far. Post-surgical complications such as paralysis of the lingual nerve and the hypoglossal nerve were not found.
CONCLUSION
This surgical method is a possible choice for the treatment of stones in the hilum and internal area of submandibular gland.

Keyword

Salivary gland calculi; Submandibular gland

MeSH Terms

Follow-Up Studies
Humans
Hypertrophy
Hypoglossal Nerve
Lingual Nerve
Paralysis
Recurrence
Salivary Gland Calculi
Sublingual Gland
Submandibular Gland*