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

Abstract

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.

The roles of heteromorphic crystals and organic compounds in the formation of the submandibular stones

“…Three studies followed patients with submandibular stones after stone extraction with a mean time of 19.8 months, 54.8 months, and 42 months, respectively. They found that all three study groups experienced varied degrees of recurrence, with recurrence rates fluctuating from 3.39 % to 10.4 %, and one patient even had a second recurrence of stones ( Galli et al., 2021 ; Kim et al., 2016 ; Zhang et al., 2010 ). The recurrent patients bear a greater risk of gland removal than the first therapy ( Galli et al., 2021 ).…”

“…Sialolithiasis is a common non-neoplastic disease characterized by the development of calcified products in salivary glands, especially in the submandibular gland. Patients often have swelling and pain in the affected gland, and recurrent attacks and/or secondary infections can lead to salivary gland dysfunction ( Zenk et al., 2012 ; Galli et al., 2021 ).…”

Sialolithiasis in The Sublingual Gland: Surgical Treatment

“…The calcified concretions may be present in the glandular parenchyma or ductal system of the major or minor salivary glands. The submandibular salivary glands are most commonly affected [1][2][3][4][5][6][7] .…”

“…Sometimes, purulent discharge may occur when associated with infection, observed near the ductal orifice. These clinical characteristics can cause painful symptoms, especially during meals [1][2][3][4][5][6][7][8][9] .…”

Accuracy and Security Analysis of a Cranio-Maxillofacial Plastic Surgery Robot Equipped With Piezosurgery in Genioplasty

“…Because of its minimal invasiveness, precision, and few complications, it is becoming increasingly widely used in clinical applications. [4][5][6][7][8] Craniofacial surgery robots are still in the research stage, 9,10 and their accuracy needs to be verified. In this study, we will use a craniofacial plastic surgery robot with piezosurgery to compare the accuracy of traditional clinical operations using the same proportion of plaster models for patients with defective chins who have received genioplasty.…”