Conclusion
In conclusion, this case report demonstrates the effective intraoral excision of a 3 cm submandibular stone. The patient’s past use of betel nut chewing led to submucosal fibrosis, which presented difficulties during intubation and surgery. In addressing this instance, Sialendoscopy proved to be an invaluable diagnostic and therapeutic tool, enabling precision stone removal without glandular excision. The significance of patient education, follow-up appointments, and quitting betel nut use were underlined. This example emphasizes the value of customized therapies and cutting-edge methods in the thorough treatment of submandibular sialolithiasis.