c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Sialolithiasis of the Submaxillary Gland: 1

A D V E R T I S E M E N T

   
 

A 60-year-old man presented with marked swelling below the left ramus of the mandible, trismus and dysphagia of 2 weeks duration. He had had a similar episode several years previously which resolved spontaneously. Clinically, the mass was suspicious for carcinoma, but CT scan showed two large stones in the left submaxillary gland.      

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Sialolithiasis of the Submaxillary Gland: 2

A D V E R T I S E M E N T

   
 

The gland was mobilized (see submandibular salivary gland resection) above the tendon of the digastric muscle (bracketed by clamp).       

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Sialolithiasis of the Submaxillary Gland: 3

A D V E R T I S E M E N T

   
 

The anterior facial vessels were ligated at the cephalad margin of the gland.       

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This page was last modified on 8/14/2001.