[Endoscopic management of sialolithiasis (a practical experience in 52 cases)].
OBJECTIVE
To investigate the value of endoscopy in the diagnosis and treatment of sialolithiasis.


METHODS
Diagnostic and interventional sialoendoscopic procedures were performed in 52 patients with sialolithiasis (43 submandibular glands and 9 parotid glands).


RESULTS
Of the 34 sialoliths in the anterior and/or posterior part of the Wharton's duct, 24 were removed with basket retrieval; 2 removed with open surgery and basket retrieval, and 8 removed with open surgery under the guidance of endoscopy. Eight sialoliths in the hilum of the Wharton's duct were treated with open surgery. Of the 9 stone cases in the Stensen's duct, 3 was removed with basket retrieval, 3 was removed after opening-up of the ostium, 1 was treated with basket capturing and open surgery. The obstructive symptoms were improved in these cases during 1-24 months' follow-up.


CONCLUSIONS
Sialoendoscopy is a minimal invasive and efficacious technique for the diagnosis and treatment of sialolithiasis.
Department of Radiology, Peking University School and Hospital of Stomatology, Beijing 100081, China. kqldg@bjmu.edu.cn
Deng-Gao
DG
Liu
Zu-Yan
ZY
Zhang
Lei
L
Zhang
Ye
Y
Zhang
Xiao-Xia
XX
Song
Guang-Yan
GY
Yu
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004724:Endoscopy; D005260:Female; D006801:Humans; D020347:Lithiasis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D020792:Salivary Calculi / Q000601:surgery*; D013363:Submandibular Gland; D013364:Submandibular Gland Diseases / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult