Rapid recurrent sialolithiasis: Altered stone composition and potential factors for recurrence

Trujillo, Oscar; Drusin, Madeleine A.; Rahmati, Rahmatullah

doi:10.1002/lary.26357

Cited by 10 publications

(16 citation statements)

References 10 publications

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“…The percentage of recurrent stones (2.7%) was lower than the data reported by Capaccio et al and Schapher et al 4,9 This might have contributed to the endoscopic inspection and dilatation of the proximal ductal system. 12 In addition, four hilar stones and three intraglandular residual stones that were not removed during the initial surgery migrated distally to the middle part of the duct during the follow-up period. It could presumably be stated that endoscopic ductal dilation was beneficial for distal migration of impacted stones.…”

Section: Discussionmentioning

confidence: 96%

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: Discussionmentioning

confidence: 96%

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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“…7 However, preserving the gland and the duct exposes to a risk of lithiasis recurrence. Few studies were devoted to lithiasis recurrence after minimally invasive surgery, [8][9][10] although it could be a major issue following these procedures. A better understanding of risk factors for recurrence may improve the management of salivary lithiasis.…”

Section: Introductionmentioning

confidence: 99%

Salivary Gland Lithiasis Recurrence After Minimally‐Invasive Surgery: Incidence, Risk Factors and Prevention

et al. 2020

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The aim of this study was to evaluate the recurrence rate of lithiasis following minimally invasive surgery to identify risk factors and mechanisms for recurrence of salivary gland lithiasis. Study Design: Retrospective case series. Methods: A retrospective study was conducted including all patients treated for salivary gland lithiasis by minimally invasive surgery, such as sialendoscopy, intracorporeal lithotripsy, extracorporeal lithotripsy, transoral approach, and combined approach in our Department. We analyzed the recurrence rate of salivary lithiasis, their topography and timeline. Result: Three hundred four patients were included in this study, the mean age was 49 years (range 12-90 years), and the mean duration of follow-up was 19.8 months (range 0-66 months). Fifteen patients (5%) presented secondary lithiasis. In all but one case, recurrences involved the same gland as primary lithiasis, and most frequently the submandibular gland. Recurrences occurred from 3 to 46 months postoperatively. Fourteen patients, who presented recurrence, had been initially treated by transoral approach. Recurrent lithiasis were treated by transoral approach or submandibulectomy. Conclusion: Salivary gland lithiasis recurrence was rare after minimally invasive salivary gland surgery. This study reinforced the concept that salivary gland lithiasis should be considered as a duct pathology.

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“…Etiyolojisi hakkında kesin yargılar olmamakla birlikte, tükürük akışındaki azalma, tükürük bileşimi ve pH'ının taş etiyolojisinde etkili lokal faktörler olduğu kabul görmektedir. 3,4 Sialolitiazis tükürük bezi hastalıkları içerisinde en çok görülenidir ve %80 oranında submandibular tükürük bezinin içinde veya duktusunda görülmektedir. 5 Bu; bezin boşaltım kanalının tıkanması veya duktal ektazi ile karakterizedir.…”

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“…Turjillo ve ark. 3 tekrarlayan silalolitin; ilk operasyondan sonra gelişen kronik enfeksiyon/enflamasyonun hastaları silalitiazise yatkın hale getiren faktör olabileceğini belirtmişler. Aynı makalede yazarlar cerrahiye rağmen nükseden siyaloitiyazisli hastalarda duktal yaralanma, kronik inflamasyon, düzensiz şekilli ve değişen taş kompozisyonları gibi faktörlerin nüksle ilgisinin araştırılabilir ilginç faktörler olabileceğini önermişlerdir.…”

unclassified

“…Aynı makalede yazarlar cerrahiye rağmen nükseden siyaloitiyazisli hastalarda duktal yaralanma, kronik inflamasyon, düzensiz şekilli ve değişen taş kompozisyonları gibi faktörlerin nüksle ilgisinin araştırılabilir ilginç faktörler olabileceğini önermişlerdir. 3 Sialodenit; sialolit kaynaklı olabilen akut ya da kronik enflamasyonlu bir durumdur. Achim ve ark.…”

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Dev Tükürük Bezi Taşlarının Cerrahi Eksizyonu: İki Vaka Raporu

Delilbaşı¹,

Mammadova²,

Sivri³

et al. 2019

Selcuk Dental Journal

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Tükürük bezi taşı cerrahisi: İki olgu sunumuSialolithiazis, "sialolit" olarak tanımlanan tükürük bezi taşlarının gelişimi ile oluşan bir rahatsızlıktır. Sialolitiazis %80 oranında submandibular tükürük bezinin içinde veya duktusunda görülmektedir. Tükürük bezi hastalıklarının tanısında farklı görüntüleme teknikleri kullanılabilir. Bu makalede iki farklı hastanın submandibular tükürük bezin duktusunda teşhis edilen sialolitlerin cerrahi eksizyonu rapor edilmektedir.

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Rapid recurrent sialolithiasis: Altered stone composition and potential factors for recurrence

Cited by 10 publications

References 10 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

Salivary Gland Lithiasis Recurrence After Minimally‐Invasive Surgery: Incidence, Risk Factors and Prevention

Dev Tükürük Bezi Taşlarının Cerrahi Eksizyonu: İki Vaka Raporu

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