A 60-year Female presented with uncontrolled diabetes mellitus with cellulitis of floor of mouth. She responded to oral clindamycin. When the swelling subsided, a left side submandibular calculus was discovered which was confirmed with CT Scans. Despite insulin treatment, her sugar levels remains highly uncontrolled. Her stone was removed under local anesthesia and the duct was marsupialized.
Here is a view of marsupialized submandibular duct few months after surgery. Clear saliva can bee seen coming from it.
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