Tips & tricks for transoral approach for submandibular lithiasis (TASL)

Abstract Introduction Sialolithiases mainly affect the submandibular gland. More often, the lithiasis is large and located at the junction of the middle and the posterior third of the duct, in the hilum region. In such situation, transoral approach is recommended to avoid sialadenectomy because of its lower morbidity. Tips and tricks Because of our experience, with over 300 cases operated with this transoral approach, we have decided to describe the tips and tricks that can help the surgeon who operates large stones impacted in the hilum of the submandibulary gland. Discussion The benefits of these tips and tricks are exposed. Conclusion These keypoints can help to overcome intraoperative issues and save time.