Sialolithiasis surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Sialolithiasis}} | {{Sialolithiasis}} | ||
{{CMG}} | {{CMG}} | ||
==Surgery== | ==Surgery== | ||
===Invasive management=== | |||
====Sialoendoscopy<ref name="pmid26824208">{{cite journal |vauthors=Gallo A, Benazzo M, Capaccio P, De Campora L, De Vincentiis M, Fusconi M, Martellucci S, Paludetti G, Pasquini E, Puxeddu R, Speciale R |title=Sialoendoscopy: state of the art, challenges and further perspectives. Round Table, 101(st) SIO National Congress, Catania 2014 |journal=Acta Otorhinolaryngol Ital |volume=35 |issue=4 |pages=217–33 |year=2015 |pmid=26824208 |pmc=4731883 |doi= |url=}}</ref>==== | |||
* | Sialoendoscopy can be used in the diagnosis of small stones, and differentiate them from polyps. | ||
==References== | |||
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<ref name="pmid28516973">{{cite journal |vauthors=Capaccio P, Torretta S, Pignataro L, Koch M |title=Salivary lithotripsy in the era of sialendoscopy |journal=Acta Otorhinolaryngol Ital |volume=37 |issue=2 |pages=113–121 |year=2017 |pmid=28516973 |pmc=5463518 |doi=10.14639/0392-100X-1600 |url=}}</ref>==== | |||
Can be used before sialoendoscopy in order to fragment salivary stones. | |||
==== Stone removal with wire basket<ref name="pmid10644113">{{cite journal |vauthors=Drage NA, Brown JE, Escudier MP, McGurk M |title=Interventional radiology in the removal of salivary calculi |journal=Radiology |volume=214 |issue=1 |pages=139–42 |year=2000 |pmid=10644113 |doi=10.1148/radiology.214.1.r00ja02139 |url=}}</ref> ==== | |||
Removal of stones using a wire basket extractor under fluoroscopic guidance | |||
===Surgical intervention <ref name="pmid20824782">{{cite journal |vauthors=Wallace E, Tauzin M, Hagan J, Schaitkin B, Walvekar RR |title=Management of giant sialoliths: review of the literature and preliminary experience with interventional sialendoscopy |journal=Laryngoscope |volume=120 |issue=10 |pages=1974–8 |year=2010 |pmid=20824782 |doi=10.1002/lary.21082 |url=}}</ref>=== | |||
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. | |||
== References == | |||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Medical emergencies]] | [[Category:Medical emergencies]] | ||
Revision as of 16:52, 6 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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.
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.