Submandibular Sialolithiasis

30 yr old male with h/o right submandibular sialolithiasis-1 month

  • o/e:calculus palpable in the wharton’s duct approx 2cm from ductal orifice
  • usg revealed a 8x5mm calculus in the duct close to orifice
  • Calculus removed by incision of duct along its length.A Papillotomy was also done
  • Perop sialendoscopy done to rule out presence of other stones/ductal strictures take home message:A experienced sonologist helps in decision making in salivary endoscopy/gland removal.