Diagnostic and Therapeutic Management of Submandibular Sialolithiasis: A Six-Case Series

Submandibular sialolithiasis is the leading cause of salivary gland obstruction.We retrospectively analyzed six cases treated in our department, assessing clinical features, imaging findings, management, and outcomes.Patients presented mainly with salivary colic and submandibular swelling. Imaging confirmed lithiasis in all cases. Treatment included conservative measures, intraoral stone removal, lithotripsy referral, or submandibulectomy for complex cases. All patients showed favorable clinical evolution.A conservative and minimally invasive approach should be considered first-line therapy, reserving gland excision for refractory or complicated cases.