Salivary Calculi Removal by Minimally Invasive Techniques: A Decision Tree Based on the Diameter of the Calculi and Their Position in the Excretory Duct

Possible association of sialolithiasis with HIV infection and highly active antiretroviral therapy: A case report

“…General guidelines for intervention of salivary calculi are based on its size relative to the diameter of the glandular duct lumen, and severity/recurrence of concomitant pain, swelling, xerostomia, ulceration of the overlying mucosa, and infection 17 . Suspected cases of sialolithiasis may prompt an array of diagnostic imaging such as panoramic radiography, ultrasonography, MDCT, and cone‐beam CT, and sialendoscopy.…”

Retrospective Evaluation of the Treatment of Wharton’s Duct Stones with Transoral Approach

“…In ESWL method, it is aimed to dispose the dissected sialolites into small pieces from salivary gland duct with normal saliva by using shock waves without the need for surgical treatment. In the literature, it was reported that using in the treatment of sialoliths which are smaller than 8mm has been shown and damaged the vital structures in cases with incorrect focus (Lafont et al, 2018;Foletti et al, 2018). Also, ESWL is unsuccessful in some cases and limited application in submandibular glands has been described in previous publications (Zenk et al, 2001;Escudier et al, 2003).…”

Transcervical Removal of a Rare Giant Proximal Wharton’s Duct Sialolith and Submandibular Gland

“…The anterior third part is horizontal, the two other thirds are shorter and follow a vertical course. [12] The potential for calculus development and growth depends largely on the ability of the affected salivary duct to dilate. When a calculus is located within a duct that can dilate to permit near normal flow of saliva around the calculus, it may grow in size to become a giant calculus without producing many symptoms for a long period of time.…”

“…[23,27] Foletti, et al (2017) developed an algorithm for choosing the best minimally invasive technique for managing submandibular and parotid sialoliths, according to the size of the calculi, and their position in the excretory duct for which may be applied in smaller size calculi, not more than 10 mm of diameter. [12] Other alternative treatment for sialolithiasis includes extracorporeal shock wave lithotripsy (ESWL) and endoscopic intracorporeal shock wave lithotripsy (ISWL). [28] Larger sialoliths may be fragmented in the lumen of the duct, either mechanically, ESWL, or with a laser beam, though such a technique is impossible for calculi >6-7 mm in the submandibular hilum.…”