Chirurgia dei tessuti molli: gestione delle lesioni a livello dei dotti salivari

Objectives

To review the surgical management of salivary duct lesions, the authors describe the treatment of three patients, one with a traumatic pseudofibroma of Stensen's duct, the second with a mucocele involving the sublingual gland, and the third with sialolithiasis of Wharton's duct.

Materials and methods

Using duct cannulation, sialodochoplasty, and lesion marsupialization, the oral surgeon could treat the most part of oral diseases close to salivary ducts and preserve their integrity. By this way could promote proper healing, eliminate risk of saliva extravasation and complications due to obstructed secretory flow.

Results and conclusions

With careful surgical planning and careful technique, salivary duct lesions can easily be treated without complications involving slight structures close to them.