Sunday, May 21, 2017

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Case History

41 yo female with right submandibular gland swelling occuring several times per week, usually with dinner, lasting for an hour followed by resolution.

Imaging: CT scan = 3 mm calicified calculus (Sialolithiasis) in upper margin of right submandibular gland with the gland otherwise unremarkable

Sialendosocpy of right SMG done under general anesthesia

First Video

  • Canulation of duct with 0.018 inch guide
  • Dilation of duct orifice
  • Following guide with 1.6 (o.d.) Zenk sialendoscopy (video begins)
  • Laser fragmentation of stone (holmium laser on)
  • Basket removal of stone

Second Video

  • Removal of multiple other fragments (basket and forceps)
  • View of cleared hilum