Long-term results of combined approach in parotid sialolithiasis.
Title | Long-term results of combined approach in parotid sialolithiasis. |
Publication Type | Journal Article |
Year of Publication | 2015 |
Authors | Konstantinidis, I., Chatziavramidis A., Iakovou I., & Constantinidis J. |
Journal | Eur Arch Otorhinolaryngol |
Volume | 272 |
Issue | 11 |
Pagination | 3533-8 |
Date Published | 2015 Nov |
ISSN | 1434-4726 |
Keywords | Adult, Aged, Constriction, Pathologic, Edema, Endoscopy, Female, Humans, Male, Middle Aged, Parotid Diseases, Polyps, Prospective Studies, Salivary Gland Calculi, Salivary Gland Neoplasms, Salivary Glands, Stents |
Abstract | Combined sialendoscopic and transcutaneous approach in parotid sialolithiasis is a surgical option for large and impacted stones. The aim of this study is to assess the long-term results regarding postoperative stenosis, recurrent swellings and gland function. Prospective study in a tertiary referral center of patients with parotid sialolithiasis requiring combined approach. A total of 12 patients have been treated within a period of 3 years. Intraductal stents were placed in 9 of 12 cases. Scintigraphic evaluation of salivary glands and follow-up sialendoscopy performed 1 year postoperatively. In total, fourteen stones (two stones in two cases) were successfully removed along with two coexisted inflammatory polyps. Postoperative endoscopic evaluation revealed mild stenosis in 7 out of 12 cases without clinical significance as no recurrent swellings were reported. Scintigraphy showed normal gland function in 11 cases and mild hypofunction in 1 case with long-standing history of sialolithiasis. All patients were free of symptoms within the follow-up period of time (median follow-up 15.5 months). Combined approach is a safe, gland preserving and efficacious procedure in long term. The stenosis in the area of ductal surgical opening when present does not seem to be of clinical value. |
DOI | 10.1007/s00405-014-3391-x |
Alternate Journal | Eur Arch Otorhinolaryngol |
PubMed ID | 25388993 |