Nonoperative Removal of Sialoliths and Sialodochoplasty of Salivary Duct Strictures

Sialodochoplasty in the treatment of salivary-duct stricture in chronic sialoadenitis: technique and results

“…La scialodocoplastica interventistica e la scialodocoplastica endoscopica, sono state recentemente proposte da alcuni autori per il trattamento delle stenosi duttali [2,13] [14,15]. La tecnica è stata poi riportata da altri autori nel trattamento di singoli casi [16][17][18][19]. Nella letteratura sono presenti solo due casistiche di pazienti sottoposti a ed, those over ultrasound-guided dilatation are yet to be established, as the results are difficult to analyse due to small case series and different selection and treatment criteria [2,12,13].…”

“…They described their first fluoroscopy-guided ductal dilatation achieved by inserting a coronary angioplasty catheter with a 3-mm balloon under local anaesthesia after papillotomy [14,15]. This first report was followed by reports of single cases by other authors [16][17][18][19]. The literature contains only two case series of patients undergoing interventional sialodochoplasty and two cases of patients treated with endoscopic sialodochoplasty [2,3,13,20].…”

Intra-oral removal of stones from the hilum of the submandibular gland: report of technique and morbidity

“…Conservative measures less than sialoadenectomy only postpones gland excision. This argument is being undermined by mounting evidence (clinical and experimental) that useful recovery can be achieved even in severely damaged glands 9,11,12,18,20 . The rational for adenectomy also has to be balanced against the morbidity of treatment particularly when seemingly equally effective yet less invasive techniques are now available.…”

“…There is mounting clinical and experimental evidence that salivary glands can regain useful function after stone removal 9,11,12,18,20 . So the rationale for a conservative approach is that once the stone is released the majority of salivary glands regain useful function.…”

Transoral Removal of Submandibular Stones

“…5 The significance of extracorporeal and intracorporeal lithotripsy as an organ-preserving technique is reduced by the technique of expanded incision of the Wharton duct; nevertheless, extracorporeal lithotripsy, in particular, remains indicated for impalpable small stones located in the hilum and the parenchymal region. The use of intracorporeal lithotripsy 24,25 and other techniques for stone removal 26 will remain limited in the cases of submandibular duct stones. …”