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01-03-2018 | Case Report

Sialolith removal in the submandibular region using surgical diode laser: report of two cases and literature review

Authors: Orion Luiz Haas Jr, Neimar Scolari, Lucas da Silva Meirelles, André Xavier Favoretto, Rogério Belle de Oliveira

Published in: Oral and Maxillofacial Surgery | Issue 1/2018

Abstract

Purpose

Sialolithiasis is defined as the presence of one or more calcified structures within the duct of a major or minor salivary gland. It occurs as a result of deposition of calcium salts around an accumulation of organic debris in the duct lumen. The main signs and symptoms are edema and bacterial infection with abscess formation.

Methods

This study aimed to report two cases of submandibular sialolithiasis treated surgically with diode laser and conduct a review of the literature by means of a systematic search. In the two cases, the calculi were located in the distal part of the submandibular duct and could be palpated intraorally. Surgery was performed in an outpatient setting under local anesthesia. A linear incision was made in the floor of the mouth, in the region of the opening of Wharton’s duct, to expose and remove the calculi. Laser cutting was performed using a diode laser module coupled to a 400-μm optical fiber emitting at a wavelength of 980 nm (infrared), 2.5 W output power, and in continuous pulse mode.

Results

The use of diode laser is a safe and minimally invasive option for this type of procedure.

Conclusion

Offering advantages such as enhanced coagulation properties and high-quality incision, absence of bleeding, low risk of nerve damage, and few comorbidities.

Available only for authorised users

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Title: Sialolith removal in the submandibular region using surgical diode laser: report of two cases and literature review
Authors: Orion Luiz Haas Jr
Neimar Scolari
Lucas da Silva Meirelles
André Xavier Favoretto
Rogério Belle de Oliveira
Publication date: 01-03-2018
Publisher: Springer Berlin Heidelberg
Published in: Oral and Maxillofacial Surgery / Issue 1/2018
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-018-0674-1

At a glance: The STEP trials

Springer Medicine

Sialolith removal in the submandibular region using surgical diode laser: report of two cases and literature review

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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