The Surgical Managements for the Stone in the Hilum of the Submandibular Gland / 대한이비인후과학회지

ABSTRACT

BACKGROUND AND OBJECTIVES: Transcervical submandibular gland excision has been commonly used for the treatment of stone in the hilum and intraglandular of SMG because of surgical difficulty. This study introduces a surgical approach without unnecessary submandibular or cervical resection. SUBJECTS AND METHOD: 27 patients who had stones in the hilum and internal area of SMG were treated at our department during the past one year. RESULTS: All stones were removed through intraoral approach without transcervical submandibular gland excision for all patients. For 18 patients with poor surgical field, the sublingual gland was removed before the removal of stone. Although a long term follow-up observation was not carried out, SMG hypertrophy was alleviated as time went by. No recurrence had been found so far. Post-surgical complications such as paralysis of the lingual nerve and the hypoglossal nerve were not found. CONCLUSION: This surgical method is a possible choice for the treatment of stones in the hilum and internal area of submandibular gland.