A different approach in removal of proximal Wharton's duct stone: Case report

We aimed to approach with a different surgical technique to stone excision far from orifice in Wharton duct. A 51-year-old female patient admitted to our clinic with the complaints of pain and swelling at the right of mouth floor and especially swelling during nutrition at the inferior of right jaw. In the intra oral examination; a large, sensitive with palpation, sides are erythematous solid mass in the right submandibular canal region was detected. In the ultrasonography examination, left submandibular gland was found significantly heterogeneous and 1 cm in diameter hyperechoic posterior shade showing stone at approximately 10 mm distance to Wharton duct was visualized. Sialolithiasis treatment varies according to the localization of the stone, duration of the symptoms, frequency of repetition and size of the stone. Either conservative or surgical techniques can be used for treatment. Surgically, either intraoral or extraoral approaches can be used. In our case, after removing the stone from the distal part of Wharton duct, original orifice of the duct was deactivated and distal part of the duct was marsupialised to mouth floor. Saliva discharge was seen from the new orifice inside the mouth at the postoperative 3rd week of the case. More clinical studies with increased numbers of cases are needed for accurate results of the treatment method.