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Removal of submandibular calculi by surgical method and hydraulic power with curved needle: a case report

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Á¶¼ºÈ£, Han Ji-Deuk, ±èÁ¤ÇÑ, À̽ÃÇö, Á¶ÁöºÀ, ±èöÈÆ, ±èº¹ÁÖ,
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Á¶¼ºÈ£ ( Cho Seong-Ho ) - Dong-A University Hospital Department of Dentistry Department of Oral and Maxillofacial Surgery
 ( Han Ji-Deuk ) - Dong-A University Hospital Department of Dentistry Department of Oral and Maxillofacial Surgery
±èÁ¤ÇÑ ( Kim Jung-Han ) - Dong-A University Hospital Department of Dentistry Department of Oral and Maxillofacial Surgery
À̽ÃÇö ( Lee Shi-Hyun ) - Dong-A University Graduate School of Medicine Department of Dentistry
Á¶ÁöºÀ ( Jo Ji-Bong ) - Dong-A University Graduate School of Medicine Department of Dentistry
±èöÈÆ ( Kim Chul-Hoon ) - Dong-A University Hospital Department of Dentistry Department of Oral and Maxillofacial Surgery
±èº¹ÁÖ ( Kim Bok-Joo ) - Dong-A University Hospital Department of Dentistry Department of Oral and Maxillofacial Surgery

Abstract


Sialolithiasis, the most common salivary gland pathology, is caused by calculi in the gland itself and its duct. While patients with small sialoliths can undergo conservative treatment, those with standard-size or larger sialoliths require sialolithotomy. In the present case study, we removed two sialoliths located beneath the mucosa in the posterior and anterior regions of Wharton¡¯s duct, respectively. For the posterior calculus, we performed sialolithotomy via an intra-oral approach; thereafter, the small anterior calculus near the duct orifice was removed by hydraulic power. This method has not previously been reported. There were no complications either during the operation or postoperatively, and the salivary function of the gland remained normal.

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Salivary gland calculi; Sialolithiasis; Sialoliths; Submandibular gland; Hydraulic power

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