Transoral robotic surgery for hilo-parenchymal submandibular stones

step-by-step description and reasoned approach

P. Capaccio, F. Montevecchi, G. Meccariello, G. D'Agostino, G. Cammaroto, S. Pelucchi, C. Vicini

Research output: Contribution to journalArticle

Abstract

The conservative transoral approach to hilo-parenchymal submandibular stones has been proposed as an alternative to traditional sialadenectomy. The main purpose is to preserve the gland and eliminate the risk of a cervical scar and damage to the marginal mandibular branch of the facial nerve. The spread of transoral robotic surgery has favoured its application not only in the oropharynx, but also in the anterior oral cavity. This article describes a transoral robotic approach for hilo-parenchymal submandibular stones. In January 2019, two patients with a right and a left hilo-parenchymal submandibular stone of 15 mm and 8 mm, respectively, underwent removal of the stone with transoral robotic surgery using the Si Da Vinci surgical robot. The procedure was performed successfully and tolerated well, with a one-night hospitalization. There were no complications such as lingual nerve damage, painful gland swelling, infection, or ranula. The patients were followed up clinically and ultrasonographically for the first 3 months to verify symptom relief and persistence of stones; no symptoms or stones were found. The transoral robotic surgical approach seems to be safe and adequate for the conservative management of large hilo-parenchymal submandibular stones. An adequate diagnosis together with proper docking and an appropriate approach to the oral floor is mandatory.

Original languageEnglish
JournalInternational Journal of Oral and Maxillofacial Surgery
DOIs
Publication statusPublished - Jan 1 2019

Fingerprint

Robotics
Ranula
Lingual Nerve
Mouth Floor
Oropharynx
Facial Nerve
Cicatrix
Mouth
Hospitalization
Infection

Keywords

  • CBCT
  • submandibular stones
  • transoral robotic surgery
  • transoral surgery

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

Transoral robotic surgery for hilo-parenchymal submandibular stones : step-by-step description and reasoned approach. / Capaccio, P.; Montevecchi, F.; Meccariello, G.; D'Agostino, G.; Cammaroto, G.; Pelucchi, S.; Vicini, C.

In: International Journal of Oral and Maxillofacial Surgery, 01.01.2019.

Research output: Contribution to journalArticle

@article{7a686a8e87bd4590b5fad31980fceb22,
title = "Transoral robotic surgery for hilo-parenchymal submandibular stones: step-by-step description and reasoned approach",
abstract = "The conservative transoral approach to hilo-parenchymal submandibular stones has been proposed as an alternative to traditional sialadenectomy. The main purpose is to preserve the gland and eliminate the risk of a cervical scar and damage to the marginal mandibular branch of the facial nerve. The spread of transoral robotic surgery has favoured its application not only in the oropharynx, but also in the anterior oral cavity. This article describes a transoral robotic approach for hilo-parenchymal submandibular stones. In January 2019, two patients with a right and a left hilo-parenchymal submandibular stone of 15 mm and 8 mm, respectively, underwent removal of the stone with transoral robotic surgery using the Si Da Vinci surgical robot. The procedure was performed successfully and tolerated well, with a one-night hospitalization. There were no complications such as lingual nerve damage, painful gland swelling, infection, or ranula. The patients were followed up clinically and ultrasonographically for the first 3 months to verify symptom relief and persistence of stones; no symptoms or stones were found. The transoral robotic surgical approach seems to be safe and adequate for the conservative management of large hilo-parenchymal submandibular stones. An adequate diagnosis together with proper docking and an appropriate approach to the oral floor is mandatory.",
keywords = "CBCT, submandibular stones, transoral robotic surgery, transoral surgery",
author = "P. Capaccio and F. Montevecchi and G. Meccariello and G. D'Agostino and G. Cammaroto and S. Pelucchi and C. Vicini",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.ijom.2019.07.004",
language = "English",
journal = "International Journal of Oral and Maxillofacial Surgery",
issn = "0901-5027",
publisher = "Churchill Livingstone",

}

TY - JOUR

T1 - Transoral robotic surgery for hilo-parenchymal submandibular stones

T2 - step-by-step description and reasoned approach

AU - Capaccio, P.

AU - Montevecchi, F.

AU - Meccariello, G.

AU - D'Agostino, G.

AU - Cammaroto, G.

AU - Pelucchi, S.

AU - Vicini, C.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - The conservative transoral approach to hilo-parenchymal submandibular stones has been proposed as an alternative to traditional sialadenectomy. The main purpose is to preserve the gland and eliminate the risk of a cervical scar and damage to the marginal mandibular branch of the facial nerve. The spread of transoral robotic surgery has favoured its application not only in the oropharynx, but also in the anterior oral cavity. This article describes a transoral robotic approach for hilo-parenchymal submandibular stones. In January 2019, two patients with a right and a left hilo-parenchymal submandibular stone of 15 mm and 8 mm, respectively, underwent removal of the stone with transoral robotic surgery using the Si Da Vinci surgical robot. The procedure was performed successfully and tolerated well, with a one-night hospitalization. There were no complications such as lingual nerve damage, painful gland swelling, infection, or ranula. The patients were followed up clinically and ultrasonographically for the first 3 months to verify symptom relief and persistence of stones; no symptoms or stones were found. The transoral robotic surgical approach seems to be safe and adequate for the conservative management of large hilo-parenchymal submandibular stones. An adequate diagnosis together with proper docking and an appropriate approach to the oral floor is mandatory.

AB - The conservative transoral approach to hilo-parenchymal submandibular stones has been proposed as an alternative to traditional sialadenectomy. The main purpose is to preserve the gland and eliminate the risk of a cervical scar and damage to the marginal mandibular branch of the facial nerve. The spread of transoral robotic surgery has favoured its application not only in the oropharynx, but also in the anterior oral cavity. This article describes a transoral robotic approach for hilo-parenchymal submandibular stones. In January 2019, two patients with a right and a left hilo-parenchymal submandibular stone of 15 mm and 8 mm, respectively, underwent removal of the stone with transoral robotic surgery using the Si Da Vinci surgical robot. The procedure was performed successfully and tolerated well, with a one-night hospitalization. There were no complications such as lingual nerve damage, painful gland swelling, infection, or ranula. The patients were followed up clinically and ultrasonographically for the first 3 months to verify symptom relief and persistence of stones; no symptoms or stones were found. The transoral robotic surgical approach seems to be safe and adequate for the conservative management of large hilo-parenchymal submandibular stones. An adequate diagnosis together with proper docking and an appropriate approach to the oral floor is mandatory.

KW - CBCT

KW - submandibular stones

KW - transoral robotic surgery

KW - transoral surgery

UR - http://www.scopus.com/inward/record.url?scp=85069571753&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85069571753&partnerID=8YFLogxK

U2 - 10.1016/j.ijom.2019.07.004

DO - 10.1016/j.ijom.2019.07.004

M3 - Article

JO - International Journal of Oral and Maxillofacial Surgery

JF - International Journal of Oral and Maxillofacial Surgery

SN - 0901-5027

ER -