title: Long-term Study of Sialodochoplasty for Preventing Submandibular Sialolithiasis Recurrence.
abstract: OBJECTIVE
  The transoral removal of stones by sialodochoplasty has been popularized in the treatment of submandibular sialolithiasis. However, the effectiveness of sialodochoplasty is controversial, and there are no reports on the long-term outcomes of this procedure. The purpose of this study was to assess the effectiveness and long-term outcomes of sialodochoplasty in patients with submandibular sialolithiasis.
  
  
  METHODS
  We conducted a cross-sectional study that included retrospective chart reviews and prospective telephone or interview surveys of 150 patients treated for submandibular sialolithiasis from March 2001 to January 2008. The patients were treated with two different procedures by two different surgeons. One surgeon performed a transoral sialolithectomy without sialodochoplasty in 107 patients (SS group), and the other surgeon performed a transoral sialolithectomy with sialodochoplasty in 43 patients (SP group).
  
  
  RESULTS
  The success rate of transoral sialolithectomy was 98.1% in the SS group and 93% in the SP group. The recurrence rates of symptoms or stones were 1.9% and 4.7% in the SS and SP groups, respectively. The incidence of postoperative transient hypoesthesia was 13.1% in the SS group and 34.9% in the SP group. The mean operating times were 29.79 and 47.44 minutes in the SS and SP groups, respectively. The mean percentage of general anesthesia was 42.1% in the SS group and 83.7% in the SP group.
  
  
  CONCLUSIONS
  Sialodochoplasty in addition to transoral sialolithectomy for submandibular sialolithiasis did not affect the rate of symptom or stone recurrence, but did increase the postoperative hypoesthesia incidence and general anesthesia percentage.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea.
authors.forename: Jae Hong
authors.initials: JH
authors.lastname: Park
authors.forename: Jae Wook
authors.initials: JW
authors.lastname: Kim
authors.forename: Yong Man
authors.initials: YM
authors.lastname: Lee
authors.forename: Cheon Whan
authors.initials: CW
authors.lastname: Oh
authors.forename: Hyuck Soon
authors.initials: HS
authors.lastname: Chang
authors.forename: Seung Won
authors.initials: SW
authors.lastname: Lee