Sialendoscopy and CT navigation assistance in the surgery of sialolithiasis

Abstract Background A sialendoscopy-assisted combined approach is well established in the surgery of sialolithiasis. In cases of proximal salivary stones, transcutaneous sialendoscopy-assisted extractions with parotid and submandibular gland preservation is the primary intention of treatment. We recently added computer tomography (CT) navigation to improve the results of this challenging surgery equally in both localizations. Patients and methods Al l the patients who submitted to sialendoscopy and sialendoscopy-assisted procedures at the tertiary institution between January 2012 and October 2020 were included in the present study. From November 2019, CT navigation was added in cases with sialolithiasis and a presumably poor sialendoscopic visibility. We evaluated the parameters of the disease, diagnostic procedures, sialendoscopic findings and outcomes, with or without optical surgical navigation. Results We performed 178 successful salivary stone removals in 372 patients, of which 118 were combined sialendos-copy-assisted approaches, including 16 transcutaneous proximal, 10 submandibular and 6 parotid stone operations. Surgical navigation was used in six patients, four times for submandibular and twice for parotid sialolithiasis. These were all non-palpable, sialendoscopically invisible or partially visible stones, and we managed to preserve five of the six salivary glands. Conclusions The addition of CT navigation to sialendoscopy-assisted procedures for non-palpable, sialendoscopically invisible and fixed stones is a significant advantage in managing sialolithiasis. By consistently performing sialendoscopy and related preservation procedures, we significantly reduced the need for sialoadenectomies in patients with obstructive salivary gland disease.

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Obstructive Submandibular Sialadenitis Complicated with Severe Neck Phlegmon: Transcutaneous Removal of Sialolith with a Flow of Pus: Literature Review of Extraoral Complications

Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology ◽

10.23999/j.dtomp.2021.11.1 ◽

2021 ◽

Vol 5 (11) ◽

pp. 125-134

Author(s):

Lilia Savchuk ◽

Ievgen Fesenko

Keyword(s):

Salivary Gland ◽

Literature Review ◽

Head And Neck ◽

Submandibular Gland ◽

Ultrasound Imaging ◽

Rare Case ◽

Soft Tissues ◽

Diagnostic Technique ◽

Salivary Gland Disease

Sialolithiasis, as the most common reason (60–85 percent) of obstructive salivary gland disease, in the rare cases, may be complicated by soft tissues abscess or/and fistula. The purpose of this report is to present a rare case of submandibular gland sialolithiasis complicated with severe neck phlegmon in a 47-year-old Caucasian male. Ultrasonography and transcutaneous removal of sialolith upon the purulent locus lancing are highlighted. Our literature review based on the existed ones with a total 24 complication cases is presented. Wakoh et al`s classification of submandibular gland sialolith-associated fistulas types is analyzed. The ultrasound imaging is still underestimated and not adequately popularized among head and neck and oral and maxillofacial surgeons. Presented case and published reports show the usefulness of this constantly developing diagnostic technique in a combination with knowledge of possible extraoral purulent complications’ and its management.

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Submandibular gland excision: a five-year review

The Journal of Laryngology & Otology ◽

10.1017/s0022215100158323 ◽

1998 ◽

Vol 112 (3) ◽

pp. 269-273 ◽

Cited By ~ 49

Author(s):

Y. H. Goh ◽

D. S. Sethi

Keyword(s):

Salivary Gland ◽

Submandibular Gland ◽

Needle Aspiration ◽

Morbidity Rate ◽

Aspiration Cytology ◽

Fine Needle ◽

Singapore General Hospital ◽

Salivary Gland Disease ◽

Needle Aspiration Cytology ◽

Submandibular Gland Excision

AbstractExcision of the submandibular gland is a surgical procedure often undertaken. The procedure is the treatment of choice for patients with neoplasm of the submandibular gland and those with non-neoplastic submandibular disorders which are not controlled with conservative medical measures. Extirpation of the submandibular gland may also be undertaken for diagnostic purposes.This retrospective study of 93 consecutive patients who underwent excision of the submandibular gland in the Department of Otolaryngology, Singapore General Hospital over a five-year period was undertaken to study the indications of surgery, the pathology of the excised submandibular gland and the demographic profile of patients.Fifty-six (60.2 per cent) patients underwent submandibular gland excision for non-neoplastic salivary gland disease while 37 (39.8 per cent) had neoplastic submandibular gland disorders. The commonest pathology encountered was sialadenitis/sialolithiasis (53.76 per cent) followed by pleomorphic adenoma (33.33 per cent). Fine needle aspiration cytology (FNAC) was a valuable pre-operative investigation with a sensitivity and specificity of 94.7 per cent and 100 per cent respectively for neoplastic diseases. The morbidity rate for this surgery was 4.3 per cent.

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Sonoelastographic modalities in the evaluation of salivary gland disease

Ultraschall in der Medizin - European Journal of Ultrasound ◽

10.1055/s-0036-1587893 ◽

2016 ◽

Vol 37 (S 01) ◽

Author(s):

B Hofauer ◽

N Mansour ◽

M Bas ◽

K Stock ◽

A Knopf

Keyword(s):

Salivary Gland ◽

Salivary Gland Disease

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Ultrasonography in salivary gland disease

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1984.20.4.795 ◽

1984 ◽

Vol 20 (4) ◽

pp. 795 ◽

Cited By ~ 1

Author(s):

E Y Kang ◽

S J Cha ◽

S H Cha ◽

H Y Seol ◽

K B Chung ◽

...

Keyword(s):

Salivary Gland ◽

Salivary Gland Disease

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Salivary Gland Disease: A Comprehensive Resource

Otolaryngologic Clinics of North America ◽

10.1016/j.otc.2021.04.010 ◽

2021 ◽

Vol 54 (3) ◽

pp. xiii-xiv

Author(s):

Sujana S. Chandrasekhar

Keyword(s):

Salivary Gland ◽

Salivary Gland Disease

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Immunologic Approaches to the Therapy of Autoimmune Salivary Gland Disease

Journal of Dental Research ◽

10.1177/00220345870660s217 ◽

1987 ◽

Vol 66 (2_suppl) ◽

pp. 703-708

Author(s):

H.C. Lane ◽

A.S. Fauci

Keyword(s):

Salivary Gland ◽

B Lymphocytes ◽

Cell Function ◽

Immunosuppressive Agents ◽

Therapeutic Strategies ◽

Treatment Regimens ◽

Theoretical Approaches ◽

Biologic Response ◽

Benign Nature ◽

Salivary Gland Disease

A variety of immunologic mechanisms may theoretically give rise to disease in the salivary glands. Among them are abnormal antibody production, hyper-reactive T-lymphocytes, and mono- or oligoclonal expansions of B-lymphocytes, While it is not clear which, if any, of these mechanisms are of prime importance in the immunopathology of salivary gland disease, they provide a framework, within which to discuss theoretical approaches to the treatment of autoimmune salivary gland disease. Among the techniques used to decrease antibody-induced damage are non-steroidal anti-inflammatory agents, plasmapheresis, and corticosteroids. Cyclosporin, monoclonal antibodies, and biologic response-modifiers may be used to modulate T-cell function, and anti-idiotype antibodies or immunosuppressive agents may be used to treat malignant expansions of B-cells. Although the generally benign nature of autoimmune salivary gland disease precludes the use of many of the potentially toxic treatment regimens discussed here, the appreciation of these approaches to immunomodulation provides a basis upon which to develop new and innovative therapeutic strategies.

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Diagnosis of salivary gland disease using ultrasound and sialography: a comparison

Clinical Otolaryngology ◽

10.1111/j.1365-2273.1989.tb00360.x ◽

1989 ◽

Vol 14 (3) ◽

pp. 189-197 ◽

Cited By ~ 6

Author(s):

PETER ZBAREN ◽

JEAN-CLAUDE DUCOMMUN

Keyword(s):

Salivary Gland ◽

Salivary Gland Disease

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HIV-associated salivary gland disease: literature review and report of three cases

British Journal of Oral and Maxillofacial Surgery ◽

10.1016/s0266-4356(97)90661-6 ◽

1997 ◽

Vol 35 (3) ◽

pp. 218

Author(s):

A. Schmidt-Westhausen ◽

H.D. Pohle ◽

H. Lobeck ◽

P.A. Reichart

Keyword(s):

Salivary Gland ◽

Literature Review ◽

Salivary Gland Disease

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Developmental Changes of Calcium-Stimulated Adenosine Triphosphatase in Rat Submandibular Gland

Journal of Dental Research ◽

10.1177/00220345760550052501 ◽

1976 ◽

Vol 55 (5) ◽

pp. 864-867 ◽

Cited By ~ 1

Author(s):

Shunsuke Furuyama ◽

Yoshimitsu Son ◽

Hitoshi Ogawa ◽

Hiroo Matsubayashi ◽

Hisashi Takiguchi

Keyword(s):

Salivary Gland ◽

Submandibular Gland ◽

Adenosine Triphosphatase ◽

Developmental Changes ◽

Submandibular Glands ◽

Old Rats ◽

Rat Submandibular Gland

Developmental changes of Ca2+-stimulated adenosine triphosphatase (ATPase) in rat submandibular glands were determined in the fetus and up to 300-day-old rats, and were discussed in relation to the development of salivary gland functions.

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