Sialoendoscopy in Diagnostics and Therapy of Submandibular Sialolithiasis


Authors: P. Štrympl 1;  L. Staníková 1;  P. Matoušek 1,2;  T. Pniak;  P. Komínek 1,2
Authors‘ workplace: ORL klinika, FN Ostrava, přednosta prof. MUDr. P. Komínek Ph. D., MBA 1;  Lékařská fakulta Ostravské univerzity 2
Published in: Otorinolaryng. a Foniat. /Prague/, 64, 2015, No. 3, pp. 157-162.
Category: Original Papers

Overview

Introduction:
Sialendoscopy is a modern interventional method used in management of submandibular salivary gland sialolithiasis.

Aim of the study:
Assessment of the sialendoscopic treatment of the submandibular stones.

Patient and methods:
One hundred and thirty-four sialendoscopies were performed at ENT Clinic University Hospital in Ostrava between 2010 – 2013. Sixty-two sialoliths were verified. Thirty-four sialoliths were localised in distal parts of submandibular duct and 28 patients were treated for lithiasis of proximal part of Wharton’s duct. All these patients underwent sialendoscopic treatment.

Results:
Sialendoscopic extraction interventions with wire basket or forceps were successful in 31(91.2 %) patients. Transoral removal in patients with proximal lithiasis was successful in 23 patients (82.1 %). Sialadenectomy was performed in 3 patients (10.7 %) after transoral removal and in 1 after sialendoscopic extraction. Indication criteria for sialadenectomy were persisting problems after treatment and failure of the transoral removal. Sialadenectomy was performed in 4/28 (14,3 %) patients from whom wasn´t tolerate local anaesthesia.

Conclusion:
Sialendoscopy is presented as gland-preserving method and it is conducted with lower number of complications contrary to standard surgical methods. This mini invasive method is more efficient than standard treatment and recovery period after surgery is shorter.

Keywords:
sialolithiasis, benign obstructive disease, submandibular salivary gland, sialendoscopy, transoral removal


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Audiology Paediatric ENT ENT (Otorhinolaryngology)
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