Audit of minimally-invasive surgery for submandibular sialolithiasis

Holden, Adam; Man, Chang-Bon; Samani, Meera; Hills, Adrian; McGurk, Mark

doi:10.1016/j.bjoms.2019.05.010

Cited by 11 publications

(20 citation statements)

References 11 publications

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“…The results determined that the OT and IBL of patients in the observation group were reduced compared with the control group, while the dental socket integrity and clinical efficacy were increased, indicating that minimally invasive surgery was more effective in treating complex impacted mandibular teeth. In previous studies [ 22 , 23 ], there is evidence that minimally invasive oral surgery is more effective for sialolithiasis and parotid calculi than traditional extractions, which is also consistent with our experimental results. As we all know, traditional tooth extraction for complex impacted mandibular teeth often involves violent percussion, chopping, chiseling, and other harmful operations, which will not only cause serious damage to patients' periodontal tissues but also cause great psychological pressure [ 24 ].…”

Section: Discussionsupporting

confidence: 93%

Correlation of Complex Impacted Mandibular Teeth with Pericoronitis and Effect of Minimally Invasive Tooth Extraction on Patients’ Long-term Outcome of Masticatory Ability

Nie

Chang

Tian

et al. 2022

Emergency Medicine International

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Objective. To explore the correlation of complex impacted mandibular teeth and pericoronitis, as well as the effect of minimally invasive tooth extraction on patients’ long-term outcomes of masticatory ability. Methods. A total of 101 patients with complex impacted teeth who were treated in our hospital from March 2019 to June 2021 were selected and divided into the control group (n = 55) and the observation group (n = 46) according to the different treatment methods. The patients in the control group were given conventional extraction treatment, and the patients in the observation group were given minimally invasive extraction treatment. The clinicopathological features of patients complicated by pericoronitis were observed and the relationship between complex impacted mandibular teeth and pericoronitis was discussed. Additionally, we made statistics on operative time (OT), intraoperative blood loss (IBL), dental socket integrity score, and adverse reactions (ARs) and compared the clinical efficacy between the observation group and control group. The Visual Analogue Scale (VAS) and Oral Health Impact Profile scale (OHIP-14) were utilized for pain assessment and oral health status evaluation, respectively. Bite force (BF) and masticatory efficiency were also measured. Results. OG showed less OT and IBL than CG, with a higher dental socket integrity score ( P < 0.05 ). In addition, OG outperformed CG with a higher overall response rate and a lower incidence of ARs ( P < 0.05 ). The pretreatment VAS score, mouth-opening degree, and OHIP-14 score differed insignificantly between groups ( P > 0.05 ). After treatment, the VAS score of OG decreased, while the mouth-opening degree and OHIP-14 score increased ( P < 0.05 ). Finally, the mastication ability was higher in OG at 7 days postoperatively, but there was no difference between groups at 6 months postoperatively ( P > 0.05 ). Conclusion. Complex mandibular impacted teeth can easily induce pericoronitis, so clinicians should pay attention to the influencing factors of pericoronitis. Minimally invasive surgery for complex impacted mandibular teeth can effectively improve treatment outcomes, accelerate patient rehabilitation, and provide more effective protection for patients’ oral health and masticatory ability, which is worth promoting in clinical use.

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Section: Discussionsupporting

confidence: 93%

Correlation of Complex Impacted Mandibular Teeth with Pericoronitis and Effect of Minimally Invasive Tooth Extraction on Patients’ Long-term Outcome of Masticatory Ability

Nie

Chang

Tian

et al. 2022

Emergency Medicine International

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“…28 Symptomatic patients with ductal sialoliths may warrant minimally invasive surgery, sialolithotripsy or endoscopic extirpation. 29 Parenchymal stone removal usually requires sialoadenectomy. Recently, transoral robotic surgery has been successfully employed in a limited number of cases of large submandibular gland parenchymal sialoliths.…”

Section: Discussionmentioning

confidence: 99%

Concurrent giant sialoliths within the submandibular gland parenchyma and distal segment of Wharton’s duct: Novel case report

2021

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Approximately 1%-2% of adults develop sialolithiasis (salivary stone or calculus) in the major salivary glands. 1 Seventy-two per cent to 95% of salivary stones occur within the submandibular gland (mean size = 4.9 mm), 4%-28% within the parotid gland (mean size = 3.2 mm) and only 0%-6% within the sublingual gland (mean size = 5.3 mm). [2][3][4] The mean age of affected patients ranges from 43 to 50 years and without gender predilection. 5 Bilateral sialolithiasis has been seen in 0.5%-2.2% of various subpopulations. 6 Smaller sialoliths are often asymptomatic, whereas larger stones may hinder salivary outflow, producing glandular pain, swelling and infection; sialoliths within the submandibular and sublingual glands may also cause dysphagia, speech difficulty and, infrequently, ulceration of the overlying oral mucosa. 7,8 Moreover, salivary stones exceeding 15 mm in length, designated as giant sialoliths or megaliths, may generate contralateral ghost images and create interpretation difficulties. 9Although there are numerous articles on sialolithiasis in a variety of oral and maxillofacial publications, limited information is available in the geriatric dental literature. To expand the knowledge of obstructive sialopathy in the older-aged population, the following report describes the unusual radiographic and clinical findings of a 63-year-old asymptomatic man with 2 ipsilateral giant sialoliths, 1

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“…Özellikle 1. mandibulermolar diş hizasından geçen transvers aksın önünde kalan anterior yerleşimli küçük taşlarda medikal konservatif tedavinin başarılı olduğu görülmüştür (7). Literatürde 5 mm'ye kadar olan küçük taşların tedavisinde endoskopik yöntemlerle başarılı sonuçlar alınmaktadır (3). ESWL ile sialolitotominin de (Extracorporeal shock wave litotripsi) özellikle de 5-7 mm boyutlarındaki sialolithiazis varlığında etkin olduğu görülmüştür (3).…”

Section: Discussionunclassified

“…Hastalığa tükrük bezi parankimi ve duktus yapıları içinde biriken kalsifik materyal sebep olmaktadır (2). Hastalığın erişkin yaş grubundaki prevelansı 12/1000 civarında olarak gösterilmektedir (3). Hastalığın sıklıkla görüldüğü yaş aralığı 30-60 olarak bildirilmiştir (4).…”

Section: Introductionunclassified

A Case of Spontaneous Extruded Giant Size Submandibular Sialolithiasis

Işik

Çetinkaya

Ensari

et al. 2021

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi

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Sialolithiazis tükrük bezlerinin parankimi ve duktus yapıları içinde kalsifik materyalin birikmesi nedeniyle oluşan bir hastalıktır. Hastalığın semptomatik insidansı, yıllık milyonda 27 vakadır. Semptomatik olması halinde sıklıkla tükrük bezinde şişlik ve ağrı ile seyreder. Semptomatik seyreden sialolithiazis olgularında taşın %80 oranında submandibuler glandda yerleşimli olduğu görülmüştür. Günümüzde semptomatik olguların tedavisi için minimal invaziv cerrahi girişimler ön plandadır. Minimal invaziv cerrahi yaklaşımlar ile fasial, lingual ve hypoglossal sinir hasarlarının en aza indirildikleri belirtilmiştir. Ayrıca yaygın inanışın aksine; yapılan birçok çalışmada taş çıkarıldıktan sonra bezin işlevinin geriye döndüğü gösterilmiştir. Sunumumuzda sağ submandibuler sialolithiazis olgusunun cerrahi uygulanmadan nasıl tedavi edildiği literatür eşliğinde sunulmuştur.

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Audit of minimally-invasive surgery for submandibular sialolithiasis

Cited by 11 publications

References 11 publications

Correlation of Complex Impacted Mandibular Teeth with Pericoronitis and Effect of Minimally Invasive Tooth Extraction on Patients’ Long-term Outcome of Masticatory Ability

Correlation of Complex Impacted Mandibular Teeth with Pericoronitis and Effect of Minimally Invasive Tooth Extraction on Patients’ Long-term Outcome of Masticatory Ability

Concurrent giant sialoliths within the submandibular gland parenchyma and distal segment of Wharton’s duct: Novel case report

A Case of Spontaneous Extruded Giant Size Submandibular Sialolithiasis

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