A transfacial lithotomy approach to intraparenchymal stones in submandibular gland: our primary exploration

Abstract The article describes our exploration of the transfacial sialolithotomyapproach to intraparenchymal stones in the submandibular gland assisted with sialendoscopy and gland preservation. 5 patients with large intraparenchymal stones in submandibular gland were included. Ultrasonography and computer tomography (CT) scans were performed to locate the stones. As the large intraparenchymal stones failed to retrieve throughout endoscope, patients were treated by a transfacial lithotomy approach with sialendoscopy. The glands were preserved in all cases. The transfacial lithotomy approach with sialendoscopy can be considered as an optional technique for the treatment plan of large intraparenchymal stones in submandibular gland which failed in transoral stones removal procedure.