One‐Year symptom outcomes after sialolithiasis treatment with sialendoscopy‐assisted salivary duct surgery

Ryan, William R.; Plonowska, Karolina; Gurman, Zev R.; Aubin-Pouliot, Annick; Chang, Jolie L.

doi:10.1002/lary.27398

Cited by 14 publications

(9 citation statements)

References 26 publications

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“…Following the further development of minimally invasive techniques such as transoral duct surgery (TDS) [ 3 , 4 , 5 ] and the introduction of new minimally invasive techniques such as extracorporeal shock-wave lithotripsy (ESWL) [ 6 , 7 , 8 , 9 , 10 ] and interventional sialendoscopy (intSE) [ 11 , 12 , 13 , 14 ] between the 1990s and the first decade of the 2000s, the gland resection rate has been substantially reduced—to less than 10% or even less than 5% [ 15 , 16 ]. In particular, sialendoscopy-assisted techniques have been reported to contribute to a reduction in symptoms [ 17 ]. ESWL was then partly replaced by the introduction of combined approaches, particularly for parotid stones [ 18 , 19 , 20 ].…”

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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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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“…They found in patients with sialolithiasis, nonreachable parenchymal sialoliths, and concurrent inflammatory disease and/or stenosis may be the potential risk factors for symptom persistence. 15 Moreover, in patients with chronic obstructive sialadenitis without sialolithiasis, autoimmune sialadenitis, and glands with proximal or multifocal stenoses present with the highest proportion of persistent or recurrent disease. 16 The result from these studies implies that the location of the stone, size of the stone, and the presence of stenosis seem to be essential factors predicting outcomes for intraductal laser lithotripsy.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Factors for the Outcome of Salivary Gland Holmium: YAG Laser Intraductal Lithotripsy

et al. 2021

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Objectives: Holmium: YAG laser has gained its popularity throughout the years and is used to treat sialolithiasis, which helps to overcome the limitations of traditional sialendoscopic lithotripsy for larger-sized salivary stones. However, little information is available regarding factors predicting the success rate of Holmium: YAG laser intraductal lithotripsy. The purpose of this study is to investigate the factors affecting the success rates of Holmium: YAG laser lithotripsy for salivary stones treatment in a tertiary care hospital. Methods: A retrospective study conducted in patients receiving sialolithiasis surgery under sialendoscopy from May 2013 to March 2015 at Mackay Memorial Hospital, Taiwan. Data on various factors, including patients’ age, gender, glands, size of largest stone, multiple stones (≥2 stones), location of the stone (distal duct, middle duct, proximal duct, and hilum), and operative time. The success of the surgery defined as patients without any complaints such as swelling or tenderness. Logistic regression and Fisher exact tests were employed to examine these factors on the success rate. Results: Fifty-four patients who received sialendoscopy surgery with a mean age of 35.74 years old recruited. Logistic regression identified the operation time exceeding 210 minutes showed 23.497 folds higher odd ratio of having a result of operation failure ( P < .05). Conclusion: The prolonged operation time is the sole independent factor affecting the successful outcome for salivary gland intraductal laser lithotripsy. We recommend operative time be no more than 210 minutes to increase the success rate in salivary gland Holmium: YAG laser intraductal lithotripsy.

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“…Sialendoscopy is a low-risk 4 Some studies showed that symptoms after sialendoscopy were improved in short-, medium-and long-term 6 follow-up. [7][8][9][10][11][12][13] In most cases custom designed questionnaires relying on symptom improvement were utilized. Aubin-Pouliot et al 12 used the "chronic obstructive sialadenitis symptoms questionnaire" (COSS) and observed symptom improvement at 3 and 12 months postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies showed that symptoms after sialendoscopy were improved in short‐, medium‐ and long‐term 6 follow‐up 7‐13 . In most cases custom designed questionnaires relying on symptom improvement were utilized.…”

Section: Discussionmentioning

confidence: 99%

Success of minimally invasive salivary gland surgery—Quality of life, prognostic factors

Weigelt

Borzikowsky

Hoffmann

et al. 2020

Laryngoscope Investig Oto

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One‐Year symptom outcomes after sialolithiasis treatment with sialendoscopy‐assisted salivary duct surgery

Abstract: 4. Laryngoscope, 2018.

Cited by 14 publications

References 26 publications

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

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

Prognostic Factors for the Outcome of Salivary Gland Holmium: YAG Laser Intraductal Lithotripsy

Success of minimally invasive salivary gland surgery—Quality of life, prognostic factors

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