Abstract
Large submandibular gland stone has always been a therapeutic challenge. When they cannot be accessed in a simple transoral approach necessitate gland removal. The advent of external lithotripsy gave hope for a conservative treatment, but the success rates ranged from 40% in the submandibular glands with specifically poor results in case of large stones.
Sialendoscopy, initially described in 1990 for diagnosis and now used in sialendoscopy, cannot always extract large submandibular gland stones. To avoid submandibular gland excision, we report a technique combining sialendoscopy and a transoral approach.
