
Surgical Treatment of Salivary Gland Lesions
The chapter details the diagnosis and treatment of submandibular gland sialolithiasis, the management of a large floor-of-mouth ranula, and the removal of mucous cysts. Various surgical procedures, including lithotomy, marsupialization, and cyst removal, are explained step by step, with potential risks highlighted.
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Description
This chapter illustrates the diagnosis and treatment of submandibular gland sialolithiasis using clinical and radiological methods. The lithotomy procedure, including the insertion of a catheter to prevent ductal stenosis, is explained in a detailed, step-by-step manner. Additionally, a case involving a young patient with a large ranula of the mouth floor is presented, discussing various therapeutic options ranging from total gland removal to marsupialization. The marsupialization procedure, chosen for its less invasive nature, is performed with attention to possible intraoperative pitfalls. Another section covers the surgical removal of mucous cysts, which require precision due to their tendency to rupture prematurely, increasing recurrence risk. Each step of the surgical techniques is clearly illustrated and visualized for better understanding.