Kubilay Utku, Kertmen Canberk, Delice Orçun
Otolaryngology Department, İzmir Tepecik Training and Research Hospital, İzmir City Hospital, Yenişehir, Gaziler Cd No: 468, 35020 Konak/İzmir, Turkey.
Otolaryngology Department, İzmir Bozyaka Training and Research Hospital, İzmir City Hospital, Bahar, Saim Çıkrıkçı Cd. No: 59, 35170 Karabağlar, Izmir, Turkey.
J Surg Case Rep. 2025 Jan 7;2025(1):rjae832. doi: 10.1093/jscr/rjae832. eCollection 2025 Jan.
Sialolithiasis is a common cause of salivary gland obstruction, leading to symptoms such as pain and swelling. In cases of intraparenchymal submandibular stones and proximal ductal stones larger than 7 mm, interventional sialendoscopy may fail, necessitating sialoadenectomy. As an alternative, intraoral stone extraction can be performed with CT-guided navigation. This case report describes a 52-year-old male with previous sialadenitis complaints. Imaging confirmed a fixed intraparenchymal stone measuring 21 × 18 mm. Using CT navigation, the stone was located and removed intraorally. Salivary flow resumed through Wharton's duct on the same day postoperatively and the patient was discharged without further complaints or new stone formation during a 1-year follow-up. This minimally invasive method, utilizing CT navigation, allows for the preservation and functional recovery of the submandibular gland, avoiding skin scarring and reducing the risk of nerve damage.
涎石病是唾液腺梗阻的常见原因，可导致疼痛和肿胀等症状。对于实质内下颌下腺结石和直径大于7毫米的近端导管结石，介入性涎腺内镜检查可能失败，需要进行涎腺切除术。作为替代方法，可以在CT引导下进行口腔内结石取出术。本病例报告描述了一名有涎腺炎既往病史的52岁男性。影像学检查证实有一枚21×18毫米的固定实质内结石。通过CT导航，在口腔内定位并取出了结石。术后当天，唾液通过沃顿导管恢复流动，患者出院，在1年的随访期间无进一步不适或新结石形成。这种利用CT导航的微创方法能够保留下颌下腺并使其功能恢复，避免皮肤瘢痕形成并降低神经损伤风险。
