Sialolithotomy simply refers to the removal of a salivary stone through the mouth. These stones are typically lodged in the ductal system of the gland and cause obstruction and swelling while eating. You DO NOT need to have a submandibular gland excision simply because you have a stone in your duct.

Sialolithotomy is a minimally invasive technique that allows the removal of the stone, and resolution of the obstruction in the salivary gland. This allows the patient to avoid a submandibular gland excision.

A sialendoscope may be used to help perform a sialolithotomy. Other times, we are able to remove stones through the mouth using local anesthesia and standard surgical instruments.

If the stone is unable to be removed with a sialendoscope or standard sialolithotomy, and the patient continues to have symptoms, then a submandibular gland excision may be necessary in that situation, but should be used as a last resort.