J Korean Assoc Oral Maxillofac Surg 2017; 43(3): 182~185
Removal of submandibular calculi by surgical method and hydraulic power with curved needle: a case report
Seong-Ho Cho1, Ji-Deuk Han1, Jung-Han Kim1, Shi-Hyun Lee2, Ji-Bong Jo2, Chul-Hoon Kim1, Bok-Joo Kim1
1Department of Oral and Maxillofacial Surgery, Department of Dentistry, Dong-A University Hospital,
2Department of Dentistry, Graduate School of Medicine, Dong-A University, Busan, Korea
Bok-Joo Kim
Department of Oral and Maxillofacial Surgery, Department of Dentistry, Dong-A University Hospital, 26 Daesingongwon-ro, Seo-gu, Busan 49201, Korea
TEL: +82-51-240-5475 FAX: +82-51-241-5475 E-mail: omsbjkim@dau.ac.kr ORCID: http://orcid.org/0000-0002-7482-8738
Received July 9, 2016; Revised August 27, 2016; Accepted September 16, 2016.; Published online June 30, 2017.
© Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords: Salivary gland calculi, Sialolithiasis, Sialoliths, Submandibular gland, Hydraulic power

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31 October 2017
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