Surgical Removal of a Giant Sialolith by Diode Laser


Giant sialoliths larger than 20 mm are rare. The surgery has to be performed with the minimally invasive method in order to avoid the morbidity associated with the surgical techniques. In this report the surgical removal of a giant sialolith of 25 mm by using diode laser is described. A 57-year-old female was presented with a firm mass in the anterior part of the left side of the floor of the mouth. Following the clinical and radiological examination, the left submandibular duct sialolith was diagnosed. The diode laser was used with a power setting of 810 nm of wavelength, 4.0 W of power, 0.5 ms continuous wave and 1000 Hz of frequency for the incision. The giant sialolith was adequately removed under local anesthesia. The procedure was well-tolerated. The wound healing was uneventful in the postoperative period. By the 10th day after surgery the patient had no complaints and the salivary flow was normal. It was concluded that the use of 810-nm diode laser application is a safe and useful technique. Due to the excellent cutting and coagulation ability, there is a low complication rate, making it an appropriate alternative for this type of surgical procedure.

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Kılınç, Y. and Çetiner, S. (2014) Surgical Removal of a Giant Sialolith by Diode Laser. Open Journal of Stomatology, 4, 484-488. doi: 10.4236/ojst.2014.410065.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Huang, T.C., Dalton, J.B., Monsour, F.N. and Savage N.W. (2009) Multiple, Large Sialoliths of the Submandibular Gland Duct: A Case Report. Australian Dental Journal, 54, 61-65.
[2] Iqbal, A., Gupta, A.K., Natu, S.S. and Gupta, A.K. (2012) Unusually Large Sialolith of Wharton’s Duct. Annals of Maxillofacial Surgery, 2, 70-73.
[3] Leung, A.K., Choi, M.C. and Wagner, G.A. (1999) Multiple Sialoliths and a Sialolith of Unusual Size in the Submandibular Duct: A Case Report. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 87, 331-333.
[4] Ledesma-Montes, C., Garcés-Ortíz, M., Salcido-García, J.F., Hernández-Flores, F. and Hernández-Guerrero, J.C. (2007) Giant Sialolith: A Case Report and Review of the Literature. International Journal of Oral and Maxillofacial Surgery, 65, 128-130.
[5] Sutay, S., Erdag, T.K., Ikiz, A.O. and Guneri, E.A. (2003) Large Submandibular Gland Calculus with Perforation of the Floor of the Mouth. Otolaryngology—Head and Neck Surgery, 128, 587-588.
[6] Yang, S.W. and Chen, T.A. (2011) Transoral Carbon Dioxide Laser Sialolithectomy with Topical Anaesthesia. A Simple, Effective, and Minimally Invasive Method. International Journal of Oral and Maxillofacial Surgery, 40, 169-172.
[7] Angiero, F., Benedicenti, S., Romanos, G.E. and Crippa, R. (2008) Sialolithiasis of the Submandibular Salivary Gland Treated with the 810- to 830-nm Diode Laser. Photomedicine and Laser Surgery, 26, 517-521.
[8] Martellucci, S., Pagliuca, G., de Vincentiis, M., Greco, A., Fusconi, M., De Virgilio, A., Gallipoli, C. and Gallo, A. (2013) Ho:YAG Laser for Sialolithiasis of Wharton’s Duct. Otolaryngology—Head and Neck Surgery, 148, 770-774.
[9] Jayasree, R.S., Gupta, A.K., Vivek, V. and Nayar, V.U. (2008) Spectroscopic and Thermal Analysis of a Submandibular sialolith of Wharton’s Duct Resected Using Nd:YAG Laser. Lasers in Medical Science, 23, 125-131.
[10] Zenk, J., Benzel, W. and Iro, H. (1994) New Modalities in the Management of Human Sialolithiasis. Minimally Invasive Therapy, 3, 275-284.
[11] Bodner, L. (2002) Giant Salivary Gland Calculi: Diagnostic Imaging and Surgical Management. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 94, 320-323.
[12] Gupta, A., Rattan, D. and Gupta, R. (2013) Giant Sialoliths of Submandibular Gland Duct: Report of Two Cases with Unusual Shape. Contemporary Clinical Dentistry, 4, 78-80.
[13] Rai, M. and Burman, R. (2009) Giant Submandibular Sialolith of Remarkable Size in the Comma Area of Wharton’s Duct: A Case Report. Journal of Oral and Maxillofacial Surgery, 67, 1329-1332.
[14] Alkurt, M.T. and Peker, I. (2009) Unusually Large Submandibular Sialoliths: Report of Two Cases. European Journal of Dentistry, 3, 135-139.
[15] Williams, M.F. (1999) Sialolithiasis. Otolaryngologic Clinics of North America, 32, 819-834.
[16] Graziani, F., Vano, M., Cei, S., Tartaro, G. and Mario, G. (2006) Unusual Asymptomatic Giant Sialolith of the Submandibular Gland: A Clinical Report. Journal of Craniofacial Surgery, 17, 549-552.
[17] Combes, J., Karavidas, K. and McGurk, M. (2009) Intraoral Removal of Proximal Submandibular Stones—An Alternative to Sialadenectomy? International Journal of Oral and Maxillofacial Surgery, 38, 813-816.
[18] Zenk, J., Constantinidis, J., Al-Kadah, B. and Iro, H. (2001) Transoral Removal of Submandibular Stones. JAMA Otolaryngology—Head & Neck Surgery, 127, 432-436.
[19] Ergun, S., Mete, O., Yesil, S. and Tanyeri, H. (2009) Solitary Angiokeratoma of the Tongue Treated with Diode Laser. Lasers in Medical Science, 24, 123-125.
[20] Saleh, H.M. and Saafan, A.M. (2007) Excision Biopsy of Tongue Lesions by Diode Laser. Photomedicine and Laser Surgery, 25, 45-49.

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