Author/Authors :
Matsumoto, Kousuke Department of Oral and Maxillofacial Surgery - Japan Community Health Care Organization - Kobe Central Hospital, Kobe, Japan , Tanakura, Makiko Department of Oral and Maxillofacial Surgery - Japan Community Health Care Organization - Kobe Central Hospital, Kobe, Japan , Mitani, Izumi Department of Oral and Maxillofacial Surgery - Japan Community Health Care Organization - Kobe Central Hospital, Kobe, Japan , Kimoto, Akira Department of Oral and Maxillofacial Surgery - Kobe University Graduate School of Medicine, Kobe, Japan , Akashi, Masaya Department of Oral and Maxillofacial Surgery - Kobe University Graduate School of Medicine, Kobe, Japan
Abstract :
Introduction: Salivary stones inside the Wharton’s duct adjacent to the mylohyoid muscle are often
removed by a little incision of the mouth floor under local anesthesia. However, in the case of
relatively large salivary stones, a large incision is required, which is commonly accompanied by
hemorrhage and the need for surgical hemostasis, resulting in prolonged surgery. Furthermore,
troublesome sequelae such as ranula and lingual nerve paralysis can occur after surgical procedures.
Methods: Two patients who had relatively large salivary stones (>1 cm diameter) in the Wharton’s
duct were underwent incision of the mouth floor soft tissues with a CO2
laser.
Results: In both patients, the stone was removed in a few minutes without causing abnormal
bleeding, nerve injury, or sublingual gland disorders and was completely healed.
Conclusion: We report the usefulness and safety of the CO2
laser in two patients with relatively large
salivary stones, who underwent successful surgical removal.
