Sialolithiasis surgery: Difference between revisions
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Overview | == Overview == | ||
Many cases of sialolithiasis may not be cured by using medical therapy alone; invasive, or open [[surgery]] methods can be used for the salivary gland stones. Most common used methods are sialoendoscopy, [[laser lithotripsy]], and stone removal with wire basket. If all of above methods fails, open surgical intervention should be used. | |||
==Surgery== | ==Surgery== | ||
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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. | 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. | ||
==== | ====<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. | Can be used before sialoendoscopy in order to fragment salivary stones. | ||
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===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>=== | ===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 | If all of above methods fails, surgical intervention can be used. | ||
* For the submandibular stones, a transoral approach 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. | * 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. | * For [[Parotid gland|parotid]] stones, if sialoendoscopy did not worked, open [[surgery]] should be done. | ||
== Videos == | == Videos == | ||
Revision as of 17:22, 6 February 2018
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Sialolithiasis Microchapters |
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Treatment |
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Sialolithiasis surgery On the Web |
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American Roentgen Ray Society Images of Sialolithiasis surgery |
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Risk calculators and risk factors for Sialolithiasis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Many cases of sialolithiasis may not be cured by using medical therapy alone; invasive, or open surgery methods can be used for the salivary gland stones. Most common used methods are sialoendoscopy, laser lithotripsy, and stone removal with wire basket. If all of above methods fails, open surgical intervention should be used.
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.
[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 all 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
- ↑ 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.