Robotic-assisted transoral removal of a submandibular megalith

Authors

  • Rohan R. Walvekar MD,

    Corresponding author
    1. Department of Otolaryngology/Head Neck Surgery, Louisiana State University Health Sciences Center , New Orleans, Louisiana
    • Department of Otolaryngology/Head Neck Surgery, LSU Health Sciences Center, 533 Bolivar Street, Suite 566, New Orleans, LA 70112
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  • Patrick D. Tyler BA,

    1. Northwestern University's Feinberg School of Medicine , Chicago, Illinois, U.S.A.
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  • Neelima Tammareddi MD,

    1. Department of Otolaryngology/Head Neck Surgery, Louisiana State University Health Sciences Center , New Orleans, Louisiana
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  • Geoffrey Peters MD

    1. Department of Otolaryngology/Head Neck Surgery, Louisiana State University Health Sciences Center , New Orleans, Louisiana
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  • The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

The majority of salivary stones are less than 8 mm in size and most frequently occur in the submandibular gland. Traditional management of larger stones involves gland resection. Sialendoscopy combined with an external or a transoral sialolithotomy, also called the combined approach technique, permits stone removal and gland preservation. A 31-year-old male presented to our service with a 20-mm megalith in the left submandibular gland. Here we report the first description of a combined approach using the da Vinci Si Surgical System to facilitate transoral stone removal and salivary duct repair. Laryngoscope, 2011

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