Retrospective Evaluation of the Treatment of Wharton’s Duct Stones with Transoral Approach

Year 2019, , 74 - 78, 28.08.2019

Ferhat Ayrancı , Kadircan Kahveci

https://doi.org/10.19127/mbsjohs.555748

Cited By: 1

Abstract

Objective:
Sialolith is one
of the most common causes of salivary gland obstruction and often leads to
sialadenitis. It usually seen in the submandibular gland around 80-90 percent.
In this retrospective study, we aimed to retrospectively evaluate the treatment
of sialoliths in different parts of the Wharton duct with transoral approach
using minimally invasive techniques.

Methods:
After the clinical
and radiological examination of eight patients, six male and two female
patients, transoral removal of sialoliths detected in Wharton duct was decided.
All surgical interventions were performed with a
transoral approach using minimally invasive surgical techniques. Six
patients were treated under general anesthesia and two patients were treated
under local anesthesia.

Results:
8 patients aged
between 29-81 years who were transoral surgically removed Wharton duct stones.
During the 20-month follow-up period, no intraoperative or post-operative
complications such as bleeding and lingual nerve injury were observed.
According to the results of the survey, 75% of the patients were very
satisfied, 12.5% were satisfied and 12.5% were dissatisfied with the result.

Conclusion:
The transoral
approach may be considered as a more effective option for the treatment of
Wharton duct sialoliths because of the high success rate and the wider use
indication compared to non-invasive procedures such as ESWL and sialendoscopy.

Keywords

Wharton duct, sialolith, transoral

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