Diagnostic and treatment effects of sialendoscopy for patients with swelling of the parotid gland when sialoliths are undetected with computed tomography

Kondo, Norio; Yoshihara, Toshio; Yamamura, Yukie; Kusama, Kaoru; Sakitani, Eri; Seo, Yukako; Tachikawa, Mayako; Kujirai, Keiko; Ono, Érika; Maeda, Yasuyo; Nojima, Tomohito; Tamiya, Akiko; Sato, Emiri; Nonaka, Manabu

doi:10.1016/j.anl.2017.11.004

Cited by 7 publications

(9 citation statements)

References 9 publications

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“…Diagnostic imaging for salivary glands includes USG, CT, MRI, and sialography. CT and MRI are noninvasive techniques and have the advantage of demonstrating detailed regional anatomy; however, they are limited in their ability to detect many of the other potential obstructive pathologies including non-calcified sialoliths, strictures, mucous plugs and stenosis [11]. Sialography can demonstrate these better, but it is invasive and does not show regional anatomy and is not universally available as an imaging technique.…”

Section: Discussionmentioning

confidence: 99%

Role of Sialendoscopy in Non-neoplastic Parotid Diseases: A Prospective Study of 241 Patients in Indian Population

Goyal

Singh

Batra

2020

J. Maxillofac. Oral Surg.

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Objectives To assess the role of sialendoscopy as a diagnostic modality and in managing cases of non-neoplastic parotid gland diseases. Secondly, to provide descriptive analysis of intraoperative findings. Methods The patients of chronic parotid sialadenitis who presented with complaints of recurrent unilateral or bilateral parotid swelling and pain were included in the study. All patients underwent sialendoscopy, and the findings were noted. Intervention was carried out in the same sitting like dilatation of stenosis, stone removal by basket, combined approach, flushing of mucoid flakes, etc. Failed cases were worked up with radiological investigation and managed accordingly. Results Two hundred and forty-one cases of parotid sialadenitis who underwent sialendoscopy between 2012 and 2018 were included. Diagnostic sialendoscopy was achieved in 100% cases, while intervention was successful in 96.7% (233/241) cases after the first procedure. On diagnostic sialendoscopy, ductal stenosis was the most common pathology present in 177 (73.4%) patients followed by stones (12%) and debris (11.6%). All cases of stenosis were serially dilated with increasing sizes of sialendoscopes followed by stenting in 75% of the cases. The diagnosis of juvenile recurrent parotitis was confirmed in 17 children (mean age 5.6 years) with consistent clinical history and sialendoscopic findings of stenosis along with pale ductal mucosa. There were 18 cases where ductal perforation was seen. One case showed multiple hyperdense foci in bilateral parotid gland along with multiple strictures that underwent repeat sialendoscopy, but the symptoms did not resolve, and finally the patient underwent bilateral superficial parotidectomy. Conclusion Sialendoscopy is a safe and highly effective modality in managing non-neoplastic parotid gland disorders with low complication rates and resulted in gland preservation in the vast majority of patients. Therefore, it can be concluded that sialendoscopy is the diagnostic and therapeutic modality of choice for parotid obstructive sialadenitis.

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Section: Discussionmentioning

confidence: 99%

Role of Sialendoscopy in Non-neoplastic Parotid Diseases: A Prospective Study of 241 Patients in Indian Population

Goyal

Singh

Batra

2020

J. Maxillofac. Oral Surg.

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“…Kondo et al recently proved its diagnostic value in patients with swelling of the parotid gland when sialoliths are undetected with computed tomography. 14…”

Section: Discussionmentioning

confidence: 99%

Submandibular Sialolithiasis: A Series of Three Case Reports with Review of Literature

Pachisia

Mandal

Sahu

et al. 2019

Clinics and Practice

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One of the most common disorders of the salivary glands is sialolithiasis. A history of pain or/and swelling in the salivary glands, especially during meal suggests this diagnosis. For small and accessible stones conservative therapies like milking of ducts with palliative therapy can produce satisfactory results. Surgical management should be considered when the stone/stones are inaccessible or large in size as conservative therapies turned out to be unsatisfactory. In this paper, we present three cases of sialolithiasis in the submandibular gland along with a review of existing literature. The purpose of this paper is to add three more cases to the literature and review the theories of etiology, clinical features, available diagnostic and treatment procedures.

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“…An Endoscopy assisted transoral removal technique for larger or impacted stones can also be of utility. 19,20,21 Zenk et al concluded in their study that transoral removal should be the treatment of choice in patients with submandibular stones that can be palpated bimanually and localized by ultrasound within the perihilar region of the gland. 22,23 The excision of the submandibular gland for chronic sialadenitis is more frequent and is secondary to lithiasis.…”

Section: 15mentioning

confidence: 99%

Surgical Management of an Anterior Submandibular Gland Sialolithiasis

Akerzoul¹,

Chbcheb²

2020

Int J Oral Health Med Res

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Sialolithiasis is considered as one of the most common disorders of the salivary glands. A history of pain or/and swelling in the salivary glands, especially during meal, suggests this diagnosis. For small and accessible stones, conservative therapies like milking of ducts with palliative therapy can produce satisfactory results. Surgical management should be considered when the stone/stones are inaccessible or large in size, as conservative therapies turned out to be unsatisfactory. The aim of this paper is to describe one more case to the literature and review the theories of etiology, clinical features, available diagnostic, and treatment procedures.

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Diagnostic and treatment effects of sialendoscopy for patients with swelling of the parotid gland when sialoliths are undetected with computed tomography

Cited by 7 publications

References 9 publications

Role of Sialendoscopy in Non-neoplastic Parotid Diseases: A Prospective Study of 241 Patients in Indian Population

Role of Sialendoscopy in Non-neoplastic Parotid Diseases: A Prospective Study of 241 Patients in Indian Population

Submandibular Sialolithiasis: A Series of Three Case Reports with Review of Literature

Surgical Management of an Anterior Submandibular Gland Sialolithiasis

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