Intraoral Removal of Submandibular Duct Calculus

Overview

Submandibular duct calculus, also known as salivary stones or sialolithiasis, can cause significant discomfort and complications in the salivary glands. These stones form within the ducts that drain saliva from the submandibular glands into the mouth. When a stone blocks the duct, it can lead to pain, swelling, and infection. Intraoral removal is a minimally invasive procedure to extract these stones and restore normal salivary flow. This blog explores the causes, symptoms, surgical procedure, benefits, and recovery associated with intraoral removal of submandibular duct calculus.

Understanding Submandibular Duct Calculus

Submandibular duct calculi are mineralized deposits that form within the submandibular duct, one of the main salivary ducts. These stones are primarily composed of calcium phosphate and can vary in size. Factors contributing to their formation include reduced salivary flow, changes in saliva composition, and chronic inflammation of the salivary glands.

Symptoms of Submandibular Duct Calculus

The presence of a salivary stone can cause a range of symptoms, including:

• Pain and Swelling: Especially during meals when saliva production increases.
• Dry Mouth: Reduced saliva flow can lead to dryness and discomfort.
• Infection: Blocked ducts can become infected, leading to fever and pus discharge.
• Difficulty Swallowing: Swelling and pain can make swallowing uncomfortable.

The Surgical Procedure

1. Preparation

Consultation and Evaluation

• Medical History: The surgeon reviews the patient’s symptoms, medical history, and any previous treatments.
• Imaging: Ultrasound or sialography may be used to locate and assess the size and position of the stone.

Pre-Procedure Instructions

• Anesthesia: Local anesthesia is commonly used for this procedure, though general anesthesia may be necessary for complex cases.
• Fasting: Patients may need to fast if general anesthesia is used.

2. Procedure Steps

Anesthesia and Positioning

• Anesthesia: Administered to numb the area around the duct.
• Positioning: The patient is positioned comfortably with their mouth open to provide access to the submandibular duct.

Incision and Stone Removal

• Incision: A small incision is made in the floor of the mouth to access the duct.
• Dissection: The surgeon carefully dissects the tissue to expose the stone within the duct.
• Extraction: The stone is gently removed using specialized instruments. Care is taken to minimize damage to the duct.

Inspection and Closure

• Evaluation: The surgeon inspects the duct to ensure no residual stones remain.
• Closure: The incision may be left open to drain naturally or closed with sutures if necessary. A sterile dressing is applied.

Benefits of Intraoral Removal

• Minimally Invasive: The procedure is performed through the mouth, avoiding external incisions and visible scars.
• Quick Recovery: Most patients experience a swift recovery with minimal downtime.
• Symptom Relief: Immediate relief from pain and swelling after stone removal.
• Preservation of Gland Function: The procedure aims to preserve the function of the submandibular gland.

Risks and Complications

While generally safe, potential risks and complications include:

• Infection: There is a risk of infection at the surgical site.
• Bleeding: Minor bleeding is common, but significant bleeding should be reported to the healthcare provider.
• Duct Damage: Care is taken to avoid damage to the duct, but in rare cases, scarring or strictures may occur.
• Recurrence: There is a possibility of new stones forming in the future.

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital and the finest doctor, for an intraoral removal of submandibular duct calculus at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!