Calculi in the submaxillary duct do not commonly occur in the average otolaryngological practice, but when they do, the problem of convenient and proper management arises. We are very much indebted to Beck,1 who, 20 years ago, called attention to this problem and suggested an excellent method for the removal of submaxillary calculi via the intraoral route. Moderate-sized calculi that are present within 1 to 4 cm. of the orifice in the floor of the mouth and very large calculi regardless of their distance from the duct orifice are readily palpable, and their removal is simply effected by fixing or immobilizing the stone and cutting down on it through the overlying tissue. However, when the calculus is small and is situated in the posterior portion of Wharton's duct where it is not palpable, a different approach is necessary.
The tissues in the floor of the mouth are very soft
SPECTOR S. Submaxillary Duct Calculi: A Simple Procedure for Their Removal. AMA Arch Otolaryngol. 1955;62(3):287–291. doi:10.1001/archotol.1955.03830030053010
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