title: Sialendoscopy and sialendoscopically-assisted operations in the treatment of lithiasis of the submandibular and parotid glands: our experience of 239 cases.
abstract: We present the results of treatment of sialolithiasis of the submandibular and parotid glands using sialendoscopy and sialendoscopy-assisted surgery. Between 2009-2013, 397 consecutive patients (mean (range) age 48 (18-76) years) were treated for obstructive diseases of the major salivary glands (sialolithiasis n=239, 175 submandibular and 64 parotid). In a total of 175 patients with 191 stones in the submandibular gland treated by endoscopic retrieval or surgical release, 149 patients (85%) were rendered free of stones (by sialendoscopy alone n=82, and sialendoscopy with operation n=67) Twenty patients (11%) had residual stones and 6 patients (4%) required excisionof the gland. Sixty-four patients had 71 stones removed from the parotid gland by endoscopic retrieval or surgical release and 43 (67%) were free of stones (by sialendoscopy alone n=25, and sialendoscopy with operation n=18). Twenty patients (31%) had residual stones and one (2%) required removal of the gland. In the group of patients whose stones were removed endoscopically, the effectiveness of sialendoscopy was 87% and 85%, respectively. We confirm that sialendoscopy and sialendoscopy-assisted removal is the current treatment of choice for stones in the submandibular and parotid glands. The indications for excision of the gland are becoming less common as first-line treatment, although it is still indispensable in some cases.
authors.affiliation: ENT Department, Medical University Poznań, Poland. Electronic address: tkopec@ump.edu.pl.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Kopeć
authors.affiliation: ENT Department, Medical University Poznań, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Wierzbicka
authors.affiliation: ENT Department, Medical University Poznań, Poland.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Kałużny
authors.affiliation: ENT Department, Medical University Poznań, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Młodkowska
authors.affiliation: ENT Department, Medical University Poznań, Poland.
authors.forename: Witold
authors.initials: W
authors.lastname: Szyfter
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D006801:Humans; D020347:Lithiasis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010305:Parotid Diseases / Q000601:surgery*; D010306:Parotid Gland; D012189:Retrospective Studies; D015494:Salivary Gland Calculi / Q000601:surgery*; D013364:Submandibular Gland Diseases; D016896:Treatment Outcome; D055815:Young Adult
keywords: Chronic sialadenitis; Lithiasis; Open surgery; Sialendoscopy