Introduction

Sialolithiases mainly affect the submandibular gland (SMG). Often, the lithiasis is large and located at the junction of the middle and posterior third of the duct, in the hilum region. In such cases, proximal stones are generally removed from the SMG by a transcervical submandibular sialoadenectomy.
Recently, a gland-preserving technique has been introduced for transoral proximal sialolith removal, which is also termed as the transoral approach for submandibular lithiases (TASL).1 Herein, we report a case of transoral removal of a hilo-parenchymal submandibular sialolith by TASL.