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When the diameter of the stone is 5mm or less, it can be removed purely by an endoscopic technique, particularly when the stone is located above the muscles that comprise the floor of the mouth. The four common techniques used to remove the salivary gland stones are: The grasping technique; Using a small wire basket retrieval system
A surgeon may make a small incision near the stone to remove it. In some cases when stones continually reoccur the offending salivary duct is removed. Supporting treatment: To prevent infection while the stone is lodged in the duct, antibiotics are sometimes used.
The submandibular duct may be affected by stones, known as sialolithiasis. [4] These may grow large, requiring surgery to remove. [ 4 ] Simple palpation may be used to identify the location of any stones before surgery.
They are a relatively common complication following surgery to the salivary glands, [4] commonly parotidectomy (removal of the parotid gland). [5] In this case the sialocele is the result of saliva draining out of remaining parotid tissue, and occurs about 5 to 10% of cases of superficial (partial) parotidectomy.
Lithotomy at the time involved operations to remove bladder stones via the perineum; like other surgery before the invention of anesthesia, these were intensely painful for the patient, and since antibiotics were not yet available, often resulted in deadly infection and inflammation as well. [1] [2]
Stones may be removed by manipulation in the doctor's office, or, in the worst cases, by surgery. Lithotripsy, also known as "shock wave" treatment, is best known for its use breaking up kidney stones. Lithotripsy can now be used on salivary stones as well. Ultrasound waves break up the stones, and the fragments flush out of the salivary duct. [7]
The most common use of extracorporeal shockwave therapy (ESWT) is for lithotripsy to treat kidney stones [3] (urinary calculosis) and biliary calculi (stones in the gallbladder or in the liver) using an acoustic pulse. It is also reported to be used for salivary stones [4] and pancreatic stones. [5]
Many stone types can be detected by ultrasound; Factors contributing to stone formation (as in #Etiology) are often tested: Laboratory testing can give levels of relevant substances in blood or urine; Some stones can be directly recovered (at surgery, or when they leave the body spontaneously) and sent to a laboratory for analysis of content