Use of Cone-Beam Computed Tomography in Performing Submandibular Sialolithotomy

Costan, Victor Vlad; Ciocan-Pendefunda, Catalin Constantin; Sulea, Daniela; Popescu, Eugenia

doi:10.1016/j.joms.2019.04.014

Cited by 9 publications

(6 citation statements)

References 16 publications

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“…In moderately sized calculi 6-8 mm in diameter sialendoscopy-assisted surgery can be performed if fragmentation tools are not available. Calculi larger than 8 mm will require a combined approach [17,18]. In our study, the mean diameter of calculi was 6.1 ± 2.9 mm.…”

Section: Discussionmentioning

confidence: 54%

The role of magnetic resonance imaging and magnetic resonance sialography in the evaluation of salivary sialolithiasis: radiologic-endoscopic correlation

Gamaleldin¹,

Magdy²,

Zoheir³

et al. 2022

Pol J Radiol

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Purpose:To evaluate the role of magnetic resonance imaging (MRI) and MR sialography in salivary gland calculi in correlation with sialendoscopy. Material and methods:In this prospective study, pre-therapeutic MRI was performed for patients with clinically suspected sialolithiasis. In addition, sialendoscopy with or without surgery was performed. The detectability, number, size, and location of calculi (distance of obstruction from the ostium and masseter line) and the condition of the main duct at MRI were reported. Agreement between the 2 readers was confirmed for all MRI findings. Data regarding the detectability, number, and size of calculi were correlated with endoscopy. Results:There was excellent agreement between the 2 readers regarding the detection and number of calculi at MR sialography (κ = 1, p < 0.001). As regards MRI measurements, excellent interclass correlation was found between the 2 readers regarding size of calculi, distance of calculi from the ostium, and distance from the masseter line (κ = 0.98, 0.98, 0.97, respectively; p < 0.001). In correlation with sialendoscopy, MRI was false negative in 1 patient, and it missed 1 calculus in 3 patients with multiple calculi. There was no statistically significant difference between the size of calculi detected by MRI and true size of calculi retrieved by sialendoscopy. Conclusion:MR sialography is an accurate modality for diagnosis of the presence, size, and location of sialolithiasis and offers accurate ductal mapping for sialendoscopists.

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Section: Discussionmentioning

confidence: 54%

The role of magnetic resonance imaging and magnetic resonance sialography in the evaluation of salivary sialolithiasis: radiologic-endoscopic correlation

Gamaleldin¹,

Magdy²,

Zoheir³

et al. 2022

Pol J Radiol

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“…However, this disadvantage might be partially mitigated through intraoperative stone palpation by the assistant surgeon and due to the fixed position of most hilar SMG sialoliths [15]. Tissue mobility might be interpreted as a haptic sense, but only by an experienced robotic surgeon; therefore, the incorporation of the preoperative ultrasonography and Cone Beam CT might be mandatory to successfully pursue the excision of purely unpalpable parenchymal SMG sialoliths [5,30,31].…”

Section: Discussionmentioning

confidence: 99%

Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review

Rogalska

Antkowiak

Kasperczuk

et al. 2023

JCM

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This study aimed to systematically review the literature to determine the efficacy and safety of transoral robotic surgery (TORS) in the management of submandibular gland (SMG) sialolithiasis. PubMed, Embase, and Cochrane were searched for English-language articles evaluating TORS in the management of SMG stones published up to 12 September 2022. Nine studies with a total of 99 patients were included. Eight patients underwent TORS followed by sialendoscopy (TS); 11 patients underwent sialendoscopy followed by TORS and sialendoscopy (STS); 4 patients underwent sialendoscopy followed by TORS only (ST); and 4 patients underwent TORS without sialendoscopy (T). The mean operative time amounted to 90.97 min. The mean procedure success rate reached 94.97%, with the highest for ST (100%) and T (100%), followed by the TS (95.04%) and STS (90.91%) variants. The mean follow-up time was 6.81 months. Transient lingual nerve injury occurred in 28 patients (28.3%) and was resolved in all of them within the mean of 1.25 months. No permanent lingual nerve injury was reported. TORS is a safe and effective management modality for hilar and intraparenchymal SMG sialoliths, with high procedural success in terms of successful sialolith removal, SMG preservation, and reduced risk of permanent postoperative lingual nerve damage.

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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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Use of Cone-Beam Computed Tomography in Performing Submandibular Sialolithotomy

Cited by 9 publications

References 16 publications

The role of magnetic resonance imaging and magnetic resonance sialography in the evaluation of salivary sialolithiasis: radiologic-endoscopic correlation

The role of magnetic resonance imaging and magnetic resonance sialography in the evaluation of salivary sialolithiasis: radiologic-endoscopic correlation

Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review

Outcomes of Submandibular Stone Removal With and Without Salivary Endoscopes

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