This patient was seen for evaluation of a hard nodule notes under the tongue. It was slightly tender to touch. The examination was consistent with a salivary gland stone (sialolith)
With local anesthesia, a very small stab incision was done to expose and remove the salivary gland stone (Sialolithotomy). No sutures were required and there was virtually no post operative pain. The salivary flow from duct was re-established.