Alternative technique with ductal preservation in sialolithiasis: case report

CAIO CESAR SANTOS PATRON LUIZ, ANDRESSA BOLOGNESI BACHESK, LIOGI IWAKI FILHO

Sialolithiasis is an alteration derived from the development of calcified structures within the salivary duct system. Its treatment depends on the size and location of the sialolith and may range from salivary stimulation to surgical removal with or without the involved gland. Larger sialoliths located near the ductal ostium are often removed by intraoral access, with or without suture of the buccal floor mucosa. However, there are reports in the literature attesting the advantage of using materials that promote ductal repair during the healing process, thus avoiding complications such as fistula, stenosis and ductal fibrosis. Thus, this paper aims to report a successful clinical case of surgical excision by intraoral sialolith access in the Wharton duct, using a PVC catheter that was installed and sutured to the mucosa. This conduct resulted in the communication of the light of the duct with the external environment, maintaining its continuity, preventing its collapse, and consequently, promoting the formation of a new ductal ostium. It is concluded that the present technique brought a comfortable postoperative period, with symptomatology remission and restoration of the gland function more quickly, proving to be an adequate alternative approach for the treatment of this pathology.

Keywords: Salivary duct calculi. Submandibular gland. Surgery, oral.

How to cite: Luiz CCSP, Bachesk AB, Iwaki Filho L. Alternative technique with ductal preservation in sialolithiasis: case report. J Braz Coll Oral Maxillofac Surg. 2021 Sept-Dec;7(3):71-5.

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