Surgical strategy in submandibular sialolithiasis: Impact of stone location and size on approach selection and outcomes

Joo Hyun Kim

doi:10.1016/j.amjoto.2025.104768

December 4, 2025American Journal of OtolaryngologyOpen Access

Surgical strategy in submandibular sialolithiasis: Impact of stone location and size on approach selection and outcomes

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Key Points

Outcomes improve with minimally invasive strategies that consider stone size and location, reducing morbidity.
Key evidence suggests that a 5.5 mm size threshold is significant for approach selection in sialolithiasis.
Assessment using a CT-based framework aids in identifying optimal surgical strategies for stone removal and gland preservation.
These findings may enable broader use of less invasive methods in managing sialolithiasis cases.

Implication

Analysis reveals minimally invasive approaches improve outcomes in submandibular sialolithiasis, highlighting the importance of stone characteristics.

Abstract

A simple CT-based framework incorporating stone location and size was associated with approach selection and outcomes in submandibular sialolithiasis. Using a 5.5 mm size threshold alongside anatomic zoning may help guide minimally invasive, gland-preserving strategies and reduce morbidity. Prospective validation is warranted.

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Cite This Study

Joo Hyun Kim (2025) studied this question.

synapsesocial.com/papers/694023cd2d562116f28fce73 https://doi.org/10.1016/j.amjoto.2025.104768

View Full Paper

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Surgical strategy in submandibular sialolithiasis: Impact of stone location and size on approach selection and outcomes

Key Points

Implication

Abstract

Discussion

Cite This Study

Surgical strategy in submandibular sialolithiasis: Impact of stone location and size on approach selection and outcomes

Key Points

Implication

Abstract

Discussion

Cite This Study

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