What is the treatment for sialolithiasis of the submandibular gland?
Sialolithiasis of the submandibular gland involves calculus formation within the gland or its duct, often causing obstructive symptoms. When conservative measures are insufficient, invasive intervention is indicated.
Treatment approach
Invasive management is the mainstay, with the choice of technique depending on stone characteristics and clinical presentation. Options involve procedures that address the calculus directly — including a non-surgical fragmentation approach and endoscopic retrieval — as well as surgical excision when needed.
The complete selection criteria, procedural algorithm, and step-by-step regimen are available in the full protocol below.
References
DOI: 10.1051/mbcb/2018039
Invasive management of sialolithiasis consists of extracorporeal lithotripsy, sialendoscopy and surgery.
Extracorporeal lithotripsy (fragmentation of the calculus by ultrasound or laser waves).
Sialendoscopy (localization and ablation of the stone using a camera and a basket probe).
Surgical treatment by intra- or extra-oral approach: excision of the calculus or the gland itself.
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