Sialolithiasis surgery: Difference between revisions

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{{Sialolithiasis}}
{{Sialolithiasis}}
{{CMG}}
{{CMG}}
Overview
==Surgery==
==Surgery==
===Invasive management===
===Invasive management===
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* For parotid stones, if sialoendoscopy did not worked, open surgery should be done.
* For parotid stones, if sialoendoscopy did not worked, open surgery should be done.


== Videos ==


Videos
=== Laser lithotripsy: ===
Laser lithotripsy:  
{{#ev:youtube|g4xJMmTzuuE}}
{{#ev:youtube|g4xJMmTzuuE}}


Sialendoscopic salivary gland stone lithotripsy and removal:
=== Sialendoscopic salivary gland stone lithotripsy and removal: ===
{{#ev:youtube|3j6fJxgb1fM}}
{{#ev:youtube|3j6fJxgb1fM}}



Revision as of 16:59, 6 February 2018

Sialolithiasis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Surgery

Invasive management

Sialoendoscopy[1]

Sialoendoscopy can be used in the diagnosis of small stones, and differentiate them from polyps.

In the case of no response to medical management, sialoendoscopy can be done. The treatment result using sialoendoscopy, mostly depends on the size of the stone.

Laser lithotripsy[2]

Can be used before sialoendoscopy in order to fragment salivary stones.

Stone removal with wire basket[3]

Removal of stones using a wire basket extractor under fluoroscopic guidance

Surgical intervention [4]

If none of above methods fails, surgical intervention can be used.

  • For the submandibular stones, a transoral approach can be used.
  • In some proximal submandibular stones, a combination of sialoendoscopic and open intraoral techniques, may be used.
  • For parotid stones, if sialoendoscopy did not worked, open surgery should be done.

Videos

Laser lithotripsy:

{{#ev:youtube|g4xJMmTzuuE}}

Sialendoscopic salivary gland stone lithotripsy and removal:

{{#ev:youtube|3j6fJxgb1fM}}

References

  1. Gallo A, Benazzo M, Capaccio P, De Campora L, De Vincentiis M, Fusconi M, Martellucci S, Paludetti G, Pasquini E, Puxeddu R, Speciale R (2015). "Sialoendoscopy: state of the art, challenges and further perspectives. Round Table, 101(st) SIO National Congress, Catania 2014". Acta Otorhinolaryngol Ital. 35 (4): 217–33. PMC 4731883. PMID 26824208.
  2. Capaccio P, Torretta S, Pignataro L, Koch M (2017). "Salivary lithotripsy in the era of sialendoscopy". Acta Otorhinolaryngol Ital. 37 (2): 113–121. doi:10.14639/0392-100X-1600. PMC 5463518. PMID 28516973.
  3. Drage NA, Brown JE, Escudier MP, McGurk M (2000). "Interventional radiology in the removal of salivary calculi". Radiology. 214 (1): 139–42. doi:10.1148/radiology.214.1.r00ja02139. PMID 10644113.
  4. Wallace E, Tauzin M, Hagan J, Schaitkin B, Walvekar RR (2010). "Management of giant sialoliths: review of the literature and preliminary experience with interventional sialendoscopy". Laryngoscope. 120 (10): 1974–8. doi:10.1002/lary.21082. PMID 20824782.


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