Sialendoscopy-Combined approach for salivary stone removal
26 yr old pt presented with recurrent R submandibular swelling diagnosed R submandibular stone of 3mm. Stone engaged with basket & on withdrawl basket lockedup at narrow bifurcation of submandibular duct. Attempts to release stone not successful due to locking up of basket, duct approached through gingivolingual sulcus. Axial incision taken through the gingivolingual sulcus dissection done to identify duct and separated from lingual nerve, lockedup basket identified and stone removed and basket withdrawn through the natural submandibular orifice.