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return to protocol: Sialendoscopy

see also: Sialendoscopy Room Set Up and Equipment for Submandibular Glands

Case History

41 yo female with right submandibular gland swelling occuring several times per week, usually with dinner, lasting for an hour followed by resolution.

Imaging: CT scan = 3 mm calicified calculus (Sialolithiasis) in upper margin of right submandibular gland with the gland otherwise unremarkable

Sialendosocpy of right SMG done under general anesthesia

I. First Video

canulation of duct with 0.018 inch guide
dilation of duct orifice
following guide with 1.6 (o.d.) Zenk sialendoscopy (video begins)
laser fragmentation of stone (holmium laser on)
basket removal of stone

II. Second Video

removal of multiple other fragments (basket and forceps)
view of cleared hilum