Evaluation of Sialendoscopy-Assisted Treatment of Submandibular Gland Stones

Xiao, Jin-Qing; Sun, Hai-Jiang; Qiao, Qi-Hui; Bao, Xin; Wu, Chuan-Bin; Zhou, Qing

doi:10.1016/j.joms.2016.08.023

Cited by 13 publications

(12 citation statements)

References 21 publications

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“…1,2 In this area, eTDS with or without submandibulectomy, assistance with sialendoscopy, and ultrasound guidance is the most important treatment approach, with successful results in 70% to 100% of reported cases among adults and children. 9-25…”

Section: Discussionmentioning

confidence: 99%

Intraductal Pneumatic Lithotripsy after Extended Transoral Duct Surgery in Submandibular Sialolithiasis

Koch

Mantsopoulos

Goncalves

et al. 2018

Otolaryngol.--head neck surg.

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Section: Discussionmentioning

confidence: 99%

Intraductal Pneumatic Lithotripsy after Extended Transoral Duct Surgery in Submandibular Sialolithiasis

Koch

Mantsopoulos

Goncalves

et al. 2018

Otolaryngol.--head neck surg.

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“…A sialendoscope-assisted procedure is useful because the brightness can help in detecting any residual intraparenchymal stones after removal of the main HPSMS 12 , thus ensuring the complete clearance of the ductal system and eliminating symptoms of mealtime syndrome. On the basis of our previous findings 11 , it can be expected that only a small percentage of patients experience (often asymptomatic) stone recurrence, especially those previously treated by extra-corporeal shock wave lithotripsy (ESWL) in whom the parenchymal spread of micro-debris may not be detected by US or during surgical exploration through the oral hilo-parenchymal opening of the submandibular gland 13 14 .…”

Section: Introductionmentioning

confidence: 97%

Sialendoscope-assisted transoral removal of hilo-parenchymal sub-mandibular stones: surgical results and subjective scores

Capaccio

Gaffuri

Rossi

et al. 2017

Acta Otorhinolaryngol Ital

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Come si evince dallanalisi della letteratura, lapproccio transorale ai calcoli prossimali e ilo-parenchimali della ghiandola sottomandibolare rappresenta una valida alternativa alla scialoadenectomia tradizionale. Lo scopo di questo studio è quello di valutare i risultati chirurgici, ecografici e soggettivi di questa tecnica conservativa. Tra Gennaio 2003 e Settembre 2015 sono stati trattati con lapproccio transorale scialoendoscopico-assistito 479 pazienti affetti da calcoli ilo-parenchimali sottomandibolari palpabili, non mobili, di dimensioni superiori ai 7 mm. Tutti i pazienti sono stati sottoposti ad un follow-up clinico, ecografico e ad una valutazione soggettiva delloutcome chirurgico per mezzo di un apposito questionario somministrato attraverso unintervista telefonica. Il successo chirurgico definito come completa asportazione del calcolo ilo-parenchimale è stato ottenuto in 472 pazienti (98.5%); in sette casi (1.5%) si è verificato un insuccesso chirurgico, riguardante esclusivamente calcoli parenchimali puri. Un anno dopo lintervento chirurgico, 408 pazienti (85.1%) non riferivano più sintomi ostruttivi, 59 pazienti (12.3%) riferivano sintomi ostruttivi ricorrenti e 12 (2.6%) infezioni ricorrenti. Dei 54 pazienti (11.2%) affetti da litiasi sottomandibolare ricorrente, 52 sono stati sottoposti ad una seconda procedura terapeutica, nello specifico in 29 casi a scialoendoscopia, in 2 casi a litotrissia pneumatica intracorporea, in 8 casi a chirurgia transorale, in 6 casi ad un ciclo di litotrissia extracorporea, in 7 casi a scialoadenectomia sottomandibolare. La maggior parte dei pazienti (75.2%) ha riferito un dolore post-chirurgico di grado lieve. Al termine del follow-up, i sintomi riferiti da 454 pazienti (94.8%) erano migliorati dopo il secondo trattamento e la ghiandola sottomandibolare affetta era stata preservata nel 98.5% dei casi. La chirurgia transorale scialoendoscopico-assistita dei calcoli ilo-parenchimali della ghiandola sottomandibolare rappresenta unopzione terapeutica sicura, efficace e conservativa e la preservazione del dotto e del parenchima ghiandolare permette di esplorare il sistema duttale attraverso lostio naturale in caso di ricorrenza della patologia. Lutilizzo combinato dellapproccio transorale e delle altre tecniche mini-invasive permette di trattare con successo la maggior parte dei pazienti affetti da litiasi ilo-parenchimale sottomandibolare.

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“…After this, further developments took place that refined and combined the successful techniques. Very good results were reported after the application of TDS [ 30 , 31 , 32 , 33 , 34 , 35 , 36 ] and sialendoscopy-assisted TDS [ 37 , 38 , 39 , 40 , 41 ]. Several groups reported transoral robot-assisted extraction of deeply located and large submandibular sialoliths [ 42 , 43 , 44 ], also in combination with sialendoscopic assistance [ 45 , 46 ].…”

Section: Introductionmentioning

confidence: 99%

“…Several groups reported transoral robot-assisted extraction of deeply located and large submandibular sialoliths [ 42 , 43 , 44 ], also in combination with sialendoscopic assistance [ 45 , 46 ]. A combined endoscopic–transcutaneous approach was also described for submandibular stones [ 39 ]. In another study, stones were removed with sialendoscopy and computed tomography (CT) navigation [ 47 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Sialolithiasis: What Has Changed? An Update of the Treatment Algorithms and a Review of the Literature

Koch

Mantsopoulos

Müller

et al. 2021

JCM

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Treatment for sialolithiasis has undergone significant changes since the 1990s. Following the development of new minimally invasive and gland-preserving treatment modalities, a 40–50% rate of gland resection was reduced to less than 5%. Extracorporeal shock-wave lithotripsy (ESWL), refinement and extension of methods of transoral duct surgery (TDS), and in particular diagnostic and interventional sialendoscopy (intSE) are substantial parts of the new treatment regimen. It has also become evident that combining the different treatment modalities further increases the effectiveness of therapy, as has been especially evident with the combined endoscopic–transcutaneous approach. In the wake of these remarkable developments, a treatment algorithm was published in 2009 including all the known relevant therapeutic tools. However, new developments have also taken place during the last 10 years. Intraductal shock-wave lithotripsy (ISWL) has led to remarkable improvements thanks to the introduction of new devices, instruments, materials, and techniques, after earlier applications had not been sufficiently effective. Techniques involving combined approaches have been refined and modified. TDS methods have been modified through the introduction of sialendoscopy-assisted TDS in submandibular stones and a retropapillary approach for distal parotid sialolithiasis. Recent trends have revealed a potential for significant changes in therapeutic strategies for both major salivary glands. For the submandibular gland, ISWL has replaced ESWL and TDS to some extent. For parotid stones, ISWL and modifications of TDS have led to reduced use of ESWL and the combined transcutaneous–sialendoscopic approach. To illustrate these changes, we are here providing an updated treatment algorithm, including tried and tested techniques as well as promising new treatment modalities. Prognostic factors (e.g., the size or location of the stones), which are well recognized as having a strong impact on the prognosis, are taken into account and supplemented by additional factors associated with the new applications (e.g., the visibility or accessibility of the stones relative to the anatomy of the duct system).

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Evaluation of Sialendoscopy-Assisted Treatment of Submandibular Gland Stones

Cited by 13 publications

References 21 publications

Intraductal Pneumatic Lithotripsy after Extended Transoral Duct Surgery in Submandibular Sialolithiasis

Intraductal Pneumatic Lithotripsy after Extended Transoral Duct Surgery in Submandibular Sialolithiasis

Sialendoscope-assisted transoral removal of hilo-parenchymal sub-mandibular stones: surgical results and subjective scores

Treatment of Sialolithiasis: What Has Changed? An Update of the Treatment Algorithms and a Review of the Literature

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