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Abstract- SUBMANDIBULAR SALIVARY GLAND SIALOLITHIASIS MANAGEMENT :A CASE REPORT

ABSTRACT:Sialolithiasis is a common disease of salivary glands. The submandibular gland is affected by a number of disease processes that may be difficult to distinguish clinically. Its superficial location makes it ideal for ultrasound evaluation and a useful adjunct to clinical examination.There is a slight male predominance.  More than 80% of salivary calculi occur in the submandibular gland or its duct.This occurrence along with more deep and proximally placed common calculi in submandibular gland may occasionally cause a dilemma in selection of the appropriate surgical approach in the present era of sialoendoscopic surgery. Excision of the submandibular gland with the stone in such a situation should still be preferred as the goldstandard of treatment.The accepted method for  submandibular gland excision traditionally includes ligation of the facial artery . Preservation of the Facial Artery may be significant in reconstructive procedures of the head and neck and its ligation may altogether be obviated