Histopathology of submandibular glands removed for sialolithiasis

Marchal, Francis; Kurt, Anne Marie; Dulguerov, Pavel; Lehmann, Willy

doi:10.1016/s0194-5998(99)80334-9

Cited by 31 publications

(47 citation statements)

References 8 publications

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“…This effect is likely due to the parotid gland consisting mostly of serous cells, which are more prone to injury from RAI treatment (19). Traditional methods of treating nonneoplastic disorders of the salivary glands are conservative treatment or salivary gland excision (20). Conservative therapy, consisting of salivary massage, sialagogues, and hydration, has been found to control symptoms in 71% of patients in one study (15).…”

Section: Discussionmentioning

confidence: 99%

Sialendoscopy for Patients with Radioiodine-Induced Sialadenitis and Xerostomia

Bhayani

Acharya

Kongkiatkamon

et al. 2015

Thyroid

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Section: Discussionmentioning

confidence: 99%

Sialendoscopy for Patients with Radioiodine-Induced Sialadenitis and Xerostomia

Bhayani

Acharya

Kongkiatkamon

et al. 2015

Thyroid

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“…Interestingly, sialolithiasis is the most frequent reason for submandibular gland resection. 6,7 Sialendoscopy 4,8,9 is a new procedure for visualizing the lumen of the salivary ducts, as well as diagnosing and treating ductal diseases. Because of the required equipment and the complexity, the duration, and the potential complications of the procedure, it appears important to distinguish two different procedures: diagnostic sialendoscopy and interventional sialendoscopy.…”

Section: Introductionmentioning

confidence: 99%

Submandibular Diagnostic and Interventional Sialendoscopy: New Procedure for Ductal Disorders

Marchal¹,

Dulguerov²,

Becker³

et al. 2002

Ann Otol Rhinol Laryngol

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152

118

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We present our initial experience with submandibular sialendoscopy, a new therapeutic approach for disorders of Wharton's duct. We review the sialendoscopes used and discuss their respective merits. We evaluated and treated 129 consecutive patients with suspected ductal disorders. Diagnostic sialendoscopy was used for classifying ductal lesions as sialolithiasis, stenosis, sialodochitis, or polyps. Interventional sialendoscopy was used to treat these disorders. The type of endoscope used, the type of sialolith fragmentation and/or extraction device used, the total number of procedures, the type of anesthesia, and the number and size of the sialoliths removed were the dependent variables. The outcome variable was the endoscopic clearing of the ductal tree and resolution of symptoms. Diagnostic sialendoscopy was possible in 131 of 135 glands (97%), with an average (±SD) duration of 28 ± 15 minutes. Interventional sialendoscopy was attempted in 110 cases, with an average duration of 71 ± 41 minutes, with a success rate of 82%. Multiple sialendoscopies were necessary in 25% of cases. General anesthesia was used in 12% of cases. Submandibular gland resection was performed in 4%. The average size of the stones was 4.9 ± 2.9 mm. Multiple sialoliths were found in 31 cases (29%). Sialolith fragmentation was required in 26%. Larger and multiple stones often required longer and multiple procedures and general anesthesia, and more often resulted in failures. Semirigid endoscopes had a higher success rate (85%) than flexible sialendoscopes (54%). Complications were mostly minor, but were encountered in 10% of cases. Diagnostic sialendoscopy is a new technique for evaluating salivary duct disorders that is associated with low morbidity. Interventional sialendoscopy allows the extraction of sialoliths in most patients, thus preventing open gland excision.

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“…Removal of obstruction from the ductal system usually cures the ailment, even if long standing calculi are present [14]. According to literature, patients with submandibular gland disorders have an excellent prognosis [15]. Submandibular gland removal may be indicated following failure of lithotripsy or if the size of an intraglandular stone reaches 12 mm or more as the success of lithotripsy may be less than 20 % in such cases [9].…”

Section: Discussionmentioning

confidence: 99%

CT Scan as an Essential Tool in Diagnosis of Non-radiopaque Sialoliths

Kalia¹,

Kalra

Kaur

et al. 2012

J. Maxillofac. Oral Surg.

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Sialolithiasis is the second most common disease of the salivary glands and the main cause of salivary gland obstruction. Diagnosis of calculi/sialoliths can be made by means of an elaborate history, precise clinical examination and radiographic support. But all sialoliths do not present with predictable signs and symptoms and radiographic appearance. Sialoliths have a variety of manifestations and they may or may not be radiopaque. Non-radiopaque sialoliths are difficult to diagnose radiographically. Although newer techniques like CBCT, CT virtual sialandoscopy and established techniques like sialography, xeroradiography can be useful in selected cases. A regular CT scan is an excellent tool in the diagnosis of a non-radiopaque sialolith and associated salivary gland changes. CT scan should be considered as an important tool of imaging for diagnosis, treatment planning and follow-up of all cases of sialoliths and associated pathologies of the salivary gland.

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Histopathology of submandibular glands removed for sialolithiasis

Cited by 31 publications

References 8 publications

Sialendoscopy for Patients with Radioiodine-Induced Sialadenitis and Xerostomia

Sialendoscopy for Patients with Radioiodine-Induced Sialadenitis and Xerostomia

Submandibular Diagnostic and Interventional Sialendoscopy: New Procedure for Ductal Disorders

CT Scan as an Essential Tool in Diagnosis of Non-radiopaque Sialoliths

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