Anatomical recovery of the duct of the submandibular gland after transoral removal of a hilar stone without sialodochoplasty: evaluation of a phase II clinical trial

Woo, Seung Hoon; Kim, Jin Pyeong; Kim, Jong Sei; Jeong, Han‐Sin

doi:10.1016/j.bjoms.2014.08.005

Cited by 18 publications

(16 citation statements)

References 16 publications

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“…5,[19][20][21] In the present study, postoperative sialograms showed that 67% of cases had good function. However, in 92% of the patients, the main duct had ectasia and/or stricture of the hilum, which was significantly higher than the data (21%) reported by Woo et al 22 Abnormal ductal shape might develop from stone formation or surgical scarring, and might cause recurrence of symptoms. In the present study, sialometry was applied as a substitute for quantitative evaluation of gland function.…”

Section: Discussioncontrasting

confidence: 60%

Treatment strategy of hilar and intraglandular stones in wharton's duct: A 12‐year experience

Zhao

Zhang

et al. 2019

The Laryngoscope

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Objectives/Hypothesis To suggest a strategy for transoral removal of hilar and intraparenchymal submandibular stones. Study Design Retrospective case series. Methods Retrospective evaluation was performed for 514 consecutive patients with hilar and intraparenchymal submandibular stones treated via endoscopy‐assisted surgery from January 2006 to June 2018. Three patients had bilateral stones. The stones were classified as: hilar (type I), posthilar (type II), intraparenchymal (type III), and multiple stones (type IV). Results The affected glands included 311 with type I, 84 with type II, 65 with type III, and 57 with type IV stones. Stones were successfully removed in 478 glands (92.5%, 478/517). Main treatment techniques included hilum ductotomy in 311 glands, intraparenchymal ductotomy in 68, submandibulotomy in 14, intraductal retrieval in 74, and hilum ductotomy accompanied by intraductal retrieval in 11. At a mean 40‐months follow‐up of 478 successful cases, clinical outcomes were good in 425, fair in 27, and poor in 26 glands. Postoperative sialograms in 75 stone‐free patients were categorized as: type I, normal (n = 6); type II, ectasia or stenosis in the main duct and no persistent contrast on functional films (n = 44); type III, ectasia or stenosis in the main duct and mild contrast retention (n = 15); and type IV, poor shape of the main duct and evident contrast retention (n = 10). Postoperative sialometry of 32 patients revealed no significant differences of the gland function between the two sides. Conclusions Appropriate use of various endoscopy‐assisted approaches helps preserve the gland and facilitates recovery of gland function in patients with different depths of hilo‐parenchymal submandibular stones. Level of Evidence 4 Laryngoscope, 130:2360–2365, 2020

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Section: Discussioncontrasting

confidence: 60%

Treatment strategy of hilar and intraglandular stones in wharton's duct: A 12‐year experience

Zhao

Zhang

et al. 2019

The Laryngoscope

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“…Sialendoscopy was used to identify any additional sialoliths, remaining stone fragments, or areas of ductal stenosis. Following sialendoscopy, Wharton's duct was not routinely stented nor was the sialolithotomy repaired …”

Section: Methodsmentioning

confidence: 99%

“…Following sialendoscopy, Wharton's duct was not routinely stented nor was the sialolithotomy repaired. 11,21,22 The English literature was reviewed for articles regarding CA, or any similar technique that used a combined sialendoscopic and transoral approach for the management of SMG stones following data collection from our cohort. The PubMed Central search was used to accomplish this portion of the study, using keywords that included: combined transoral sialolithotomy, combined approach technique, sialendoscopy, submandibular gland stone, and sialolithiasis.…”

Section: Methodsmentioning

confidence: 99%

Robot‐assisted sialolithotomy with sialendoscopy for the management of large submandibular gland stones

et al. 2015

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“…20-26 Recovery of glandular function and anatomic structures was observed after the removal of hilar stones. 26…”

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confidence: 99%

Intraductal Pneumatic Lithotripsy after Extended Transoral Duct Surgery in Submandibular Sialolithiasis

Koch

Mantsopoulos

Goncalves

et al. 2018

Otolaryngol.--head neck surg.

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Anatomical recovery of the duct of the submandibular gland after transoral removal of a hilar stone without sialodochoplasty: evaluation of a phase II clinical trial

Cited by 18 publications

References 16 publications

Treatment strategy of hilar and intraglandular stones in wharton's duct: A 12‐year experience

Treatment strategy of hilar and intraglandular stones in wharton's duct: A 12‐year experience

Robot‐assisted sialolithotomy with sialendoscopy for the management of large submandibular gland stones

Intraductal Pneumatic Lithotripsy after Extended Transoral Duct Surgery in Submandibular Sialolithiasis

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