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J Korean Assoc Oral Maxillofac Surg. 2017 Jun;43(3):182-185. doi: 10.5125/jkaoms.2017.43.3.182. Epub 2017 Jun 28.

Removal of submandibular calculi by surgical method and hydraulic power with curved needle: a case report.

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Department of Oral and Maxillofacial Surgery, Department of Dentistry, Dong-A University Hospital, Busan, Korea.
Department of Dentistry, Graduate School of Medicine, Dong-A University, Busan, Korea.


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.


Hydraulic power; Salivary gland calculi; Sialolithiasis; Sialoliths; Submandibular gland

Conflict of interest statement

Conflict of Interest: No potential conflict of interest relevant to this article was reported.

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