Factors affecting long‐term outcome of transoral surgery for submandibular stones: a follow‐up study of 125 patients

Kim, Jeong Kyu; Shin, Sun Mi; Lee, Hyowon; Lee, Sangyoul

doi:10.1111/coa.12523

Cited by 16 publications

(17 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our series, the incidence of lithiasis recurrence after minimally invasive surgery was rare and consistent with the existing literature. 9 In all but one case, the same gland was affected by recurrence, which tends to confirm First of all, the impact of saliva composition on lithiasis was mentioned. Schroder et al demonstrated that patients with lithiasis had higher salivary concentrations of calcium, potassium, chloride, and phosphorous, these ions being the same as those that compose lithiasis.…”

Section: Discussionsupporting

confidence: 55%

“…7 However, preserving the gland and the duct exposes to a risk of lithiasis recurrence. Few studies were devoted to lithiasis recurrence after minimally invasive surgery, [8][9][10] although it could be a major issue following these procedures. A better understanding of risk factors for recurrence may improve the management of salivary lithiasis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Salivary Gland Lithiasis Recurrence After Minimally‐Invasive Surgery: Incidence, Risk Factors and Prevention

et al. 2020

View full text Add to dashboard Cite

The aim of this study was to evaluate the recurrence rate of lithiasis following minimally invasive surgery to identify risk factors and mechanisms for recurrence of salivary gland lithiasis. Study Design: Retrospective case series. Methods: A retrospective study was conducted including all patients treated for salivary gland lithiasis by minimally invasive surgery, such as sialendoscopy, intracorporeal lithotripsy, extracorporeal lithotripsy, transoral approach, and combined approach in our Department. We analyzed the recurrence rate of salivary lithiasis, their topography and timeline. Result: Three hundred four patients were included in this study, the mean age was 49 years (range 12-90 years), and the mean duration of follow-up was 19.8 months (range 0-66 months). Fifteen patients (5%) presented secondary lithiasis. In all but one case, recurrences involved the same gland as primary lithiasis, and most frequently the submandibular gland. Recurrences occurred from 3 to 46 months postoperatively. Fourteen patients, who presented recurrence, had been initially treated by transoral approach. Recurrent lithiasis were treated by transoral approach or submandibulectomy. Conclusion: Salivary gland lithiasis recurrence was rare after minimally invasive salivary gland surgery. This study reinforced the concept that salivary gland lithiasis should be considered as a duct pathology.

show abstract

Section: Discussionsupporting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Salivary Gland Lithiasis Recurrence After Minimally‐Invasive Surgery: Incidence, Risk Factors and Prevention

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Around 5% to 15% of patients develop recurrent stones after TDS/eTDS 2,25,32,33 . By definition, these stones are in at least posthilar or even intraparenchymal locations and present the same difficulties and limitations as discussed here.…”

Section: Discussionmentioning

confidence: 66%

“…19,31 In addition, patients present with multiple stones in 15% to 20% of cases and with recurrent stones in 5% to 15% of cases, also after TDS. 1,2,25,32,33…”

mentioning

confidence: 99%

Intraductal Pneumatic Lithotripsy after Extended Transoral Duct Surgery in Submandibular Sialolithiasis

Koch

Mantsopoulos

Goncalves

et al. 2018

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…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%

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

View full text Add to dashboard Cite

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).

show abstract

Factors affecting long‐term outcome of transoral surgery for submandibular stones: a follow‐up study of 125 patients

Abstract: Complete removal of proximal stones and gland-preserving management of recurred symptoms are the essential elements to achieve good long-term outcome of transoral surgery for the submandibular stones.

Cited by 16 publications

References 21 publications

Salivary Gland Lithiasis Recurrence After Minimally‐Invasive Surgery: Incidence, Risk Factors and Prevention

Salivary Gland Lithiasis Recurrence After Minimally‐Invasive Surgery: Incidence, Risk Factors and Prevention

Intraductal Pneumatic Lithotripsy after Extended Transoral Duct Surgery in Submandibular Sialolithiasis

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

Contact Info

Product

Resources

About