Work

CT navigation-assisted intraoral extraction of large submandibular gland stones: a minimally invasive approach

Year: 2024

Type: article

Abstract: Sialolithiasis is a common cause of salivary gland obstruction, leading to symptoms such as pain and swelling. In cases of intraparenchymal submandibular stones and proximal ductal stones larger than 7 mm, interventional sialendoscopy may fail, necessitating sialoadenectomy. As an alternative, intraoral stone extraction can be performed with CT-guided navigation. This case report describes a 52-year-old male with previous sialadenitis complaints. Imaging confirmed a fixed intraparenchymal stone measuring 21 × 18 mm. Using CT navigation, the stone was located and removed intraorally. Salivary flow resumed through Wharton's duct on the same day postoperatively and the patient was discharged without further complaints or new stone formation during a 1-year follow-up. This minimally invasive method, utilizing CT navigation, allows for the preservation and functional recovery of the submandibular gland, avoiding skin scarring and reducing the risk of nerve damage.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjae832

Authors: Utku Kubilay, Canberk Kertmen, Orçun Delice

Institutions: Izmir Tepecik Eğitim ve Araştırma Hastanesi, İzmir Şehir Hastanesi, Izmir Bozyaka Eğitim ve Araştırma Hastanesi

Language: English

Topic: Salivary Gland Disorders and Functions

Subfield: Physiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,050