Sonolocation during submandibular sialolithotomy

Romero, Nahir; Fuson, Andrew; Kieliszak, Christopher R.; Joshi, Arjun S.

doi:10.1002/lary.27816

Cited by 8 publications

(5 citation statements)

References 18 publications

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“…Numerous studies have documented different ways to avoid damage to the gland during surgery by utilizing imaging techniques, such as ultrasound and cone beam computed tomography (CT) pre-operatively and intra-operatively. 29,30 The use of CT to identify stones appears to be more accurate than ultrasound, but not always available. One study specifically reported on the use of ultrasound-guided needle injection of methylene blue prior to open parotid sialolithotomy in order to better localize the stone intra-operatively.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Submandibular Stone Removal With and Without Salivary Endoscopes

et al. 2021

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Objectives/Hypothesis: For patients with submandibular sialolithiasis, there are many gland-preserving treatment options including sialendoscopy. Sialendoscopy, however, requires expensive instrumentation with limited availability, which may not be required for routine cases. The objective of this study is to compare the outcomes of patients with submandibular sialolithiasis undergoing sialendoscopy versus those undergoing transoral incisional sialithotomy.Study Design: Longitudinal, prospective study of patient undergoing gland-preserving therapy for submandibular sialolithiasis. Methods:The study was a prospective, nonrandomized trial of 30 patients with submandibular sialolithiasis who received gland-preserving treatment by either sialendoscopy-assisted techniques (Scope group; 14 patients) or transoral sialithotomy with or without dochoplasty (No Scope group; 16 patients). Factors analyzed between the two groups included age, race, gender, size of stone, location of stone, gland(s) involved, surgical method, and modified salivary Oral Health Impact Profile (sOHIP) scores before and after therapy.Results: There were no significant differences between the Scope and No Scope groups regarding age, race, or gender. There was a significant difference in stone size between the groups, with the No Scope group having larger stones on average. Both treatments led to statistically significant symptomatic improvement in sOHIP scores. There was no statistically significant difference in salivary quality of life improvement between the Scope and No Scope groups (P = .33).Conclusions: Sialendoscopy is an important diagnostic and therapeutic tool in the management of salivary disorders, but is not associated with improved outcomes in gland-preserving treatments for routine submandibular sialolithiasis. Transoral stone removal alone may have equivalent symptomatic outcomes in the management of select sialoliths.

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Section: Discussionmentioning

confidence: 99%

Outcomes of Submandibular Stone Removal With and Without Salivary Endoscopes

et al. 2021

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“…Submandibular stones are thought to form around a nidus of mucous, whereas parotid stones are thought to form most often around a nidus of inflammatory cells or a foreign body. 4 Another theory has proposed that an unknown metabolic phenomenon can increase the salivary bicarbonate content, which alters calcium phosphate solubility and leads to precipitation of calcium and phosphate ions. A retrograde theory for sialolithiasis has also been proposed.…”

Section: Discussionmentioning

confidence: 99%

Large Sialolith in Submandibular gland parenchyma - A Case Report

Bhakte¹,

Sathawane²,

Chandak³

et al. 2021

ADR

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“…In cases in which DD is obviously difficult, ultrasound-guided diagnostic techniques [41,103] and the simultaneous application of US and sialendoscopy added diagnostic value, the latter by providing a singular, real-time, three-dimensional intra-and extraductal overview [103]. Besides this, US provides diagnostic information in the preparation [103,137], as support in the treatment [103,[138][139][140][141][142][143][144][145] and in the (post-therapeutic) follow-up [69,79,146] in sialolithiasis.…”

Section: Obstructive Sialadenitis Caused By Sialolithiasismentioning

confidence: 99%

Ultrasound in Inflammatory and Obstructive Salivary Gland Diseases: Own Experiences and a Review of the Literature

Koch

Sievert

Iro

et al. 2021

JCM

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Background: Ultrasound is established as a diagnostic tool in salivary glands for obstructive diseases such as sialolithiasis and tumors. Concerning inflammatory diseases and in non-sialolithiasis-caused obstruction, much fewer data are available. In recent years, technical development has allowed a better assessment of the gland parenchyma, and knowledge about intraductal pathologies has increased considerably, which has provided new insights and a new interpretation of ultrasound findings. Objectives: To provide a comprehensive review of the literature that includes our own experiences and to point out the state of the art in ultrasound in the diagnostics of inflammatory and obstructive salivary gland diseases, taking adequate techniques and recent technical developments into consideration. Data sources and study eligibility criteria: A systematic literature search was performed in Pubmed using various specific key words. Results: According to the literature results, including our own experiences, ultrasound is of value in up to >90% of cases presenting with inflammatory and/or obstructive diseases. Technical developments (e.g., elastography) and the application of modified ultrasound techniques (e.g., transoral ultrasound) have contributed to these results. Today, ultrasound is considered a first-line diagnostic tool in these diseases. However, in some inflammatory diseases, the final diagnosis can be made only after inclusion of the anamnesis, clinical symptoms, serologic blood tests, or histopathologic investigation. Conclusions: Ultrasound can be considered as a first-line diagnostic tool in obstructive and inflammatory salivary gland diseases. In obstructive diseases, it may be sufficient for diagnostics in >90% of cases. In inflammatory diseases, ultrasound is at least an excellent screening method and can be used to establish the diagnosis in cases of an early suspicion. In all diseases ultrasound can contribute to better management and can be used for monitoring during follow-up.

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Sonolocation during submandibular sialolithotomy

Cited by 8 publications

References 18 publications

Outcomes of Submandibular Stone Removal With and Without Salivary Endoscopes

Outcomes of Submandibular Stone Removal With and Without Salivary Endoscopes

Large Sialolith in Submandibular gland parenchyma - A Case Report

Ultrasound in Inflammatory and Obstructive Salivary Gland Diseases: Own Experiences and a Review of the Literature

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