Sialendoscopy for Sublingual Gland Sialolithiasis

To present a unique series of sublingual gland sialolithiasis treated with sialendoscopy. A retrospective chart review of patients at a single tertiary care academic center undergoing sialendoscopy. We present a series of 4 patients who presented with 1 episode each of sialadenitis without preceding...

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Bibliographic Details
Published in:Annals of otology, rhinology & laryngology rhinology & laryngology, 2017-03, Vol.126 (3), p.216-218
Main Authors: Goodstein, Lindsay, Galinat, Lauren, Curry, Joseph, Luginbuhl, Adam, Cognetti, David
Format: Article
Language:English
Subjects:
Adult
Aged
Endoscopy
Female
Humans
Middle Aged
Retrospective Studies
Salivary Gland Calculi - pathology
Salivary Gland Calculi - surgery
Sublingual Gland
Treatment Outcome
Young Adult
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Summary:To present a unique series of sublingual gland sialolithiasis treated with sialendoscopy. A retrospective chart review of patients at a single tertiary care academic center undergoing sialendoscopy. 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. 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.
ISSN:1943-572X
DOI:10.1177/0003489416684846