Review on submandibular gland stone surgical techniques and new advances

This review delves into the complexities and advancements in the surgical management of submandibular gland stones, a prevalent condition within sialolithiasis, with a particular focus on the submandibular gland which is most frequently affected. Traditional surgical interventions, such as submandibular sialoadenectomy, though effective, come with significant risks and postoperative complications including gland deficiency, scarring, and digestive issues. The emergence of minimally invasive endoscopic techniques marks a significant advancement, offering a less traumatic alternative for stone removal without sacrificing gland functionality. Despite these advances, challenges remain with endoscopic techniques, particularly in the complete removal of calcified stones and in cases involving large stones, leading to extended surgery times and increased costs. The review highlights a novel transoral endoscopic technique aimed at improving the removal of deep lobe stones, showing promising results in terms of efficacy, reduced trauma, and lower complication rates. This study underscores the ongoing evolution in the management of submandibular gland stones, emphasizing the importance of innovation and the adoption of new technologies to enhance patient outcomes and reduce healthcare burdens.