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Long-term results of combined approach in parotid sialolithiasis.

TitleLong-term results of combined approach in parotid sialolithiasis.
Publication TypeJournal Article
Year of Publication2015
AuthorsKonstantinidis, I., Chatziavramidis A., Iakovou I., & Constantinidis J.
JournalEur Arch Otorhinolaryngol
Volume272
Issue11
Pagination3533-8
Date Published2015 Nov
ISSN1434-4726
KeywordsAdult, 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.

DOI10.1007/s00405-014-3391-x
Alternate JournalEur Arch Otorhinolaryngol
PubMed ID25388993

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