The location of a submandibular salivary calculus determines the appropriate intervention. When the stone is found at the hilum of the gland, this specific anatomical position shapes the clinical decision.
This protocol applies to submandibular sialolithiasis in patients where imaging confirms the calculus is situated at the hilum level of the submandibular gland — a position that distinguishes it from more distal ductal stones and calls for a different management pathway.
When the stone is at the hilum, a surgical approach performed under general anesthesia is indicated. The complete structured regimen — including the specific operative procedure and its precise indications — is available in the full protocol.
DOI: 10.1051/mbcb/2018039
Submandibulectomy is performed exclusively under general anesthesia and is indicated when the salivary stone is at the hilum level of the gland, in cases of frequent recurrence or in case of complete salivary gland's function loss.
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