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Adrian A Ong, William W Carroll, Shaun A Nguyen, M Boyd Gillespie
OBJECTIVE: Examine outcomes of transfacial gland-preserving removal of difficult parotid stones and compare the cost and operative time to traditional parotidectomy. STUDY DESIGN: Cost-effectiveness analysis and retrospective chart review. METHODS: Patients who underwent transfacial removal of symptomatic parotid sialoliths at a tertiary medical center from June 2010 to July 2015 were evaluated. Outcomes included operative technique, stone size, stone location, complications, and symptom relief...
November 22, 2016: Laryngoscope
Liang Chye Goh, Banu Krishnan Chitra, Mohd Mokhtar Shaariyah, Wei Siang Johnson Ng
Sialolithiasis is among the most common disease affecting the major salivary glands whereby the submandibular gland or its duct is affected in the majority of cases. We report a case of the surgical removal of a giant sialolith along with the submandibular gland using the transcervical approach and its clinical outcome.
October 28, 2016: BMJ Case Reports
Oscar Trujillo, Madeleine A Drusin, Rahmatullah Rahmati
The objective of this report was to identify potential factors associated with recurrent sialolithiasis after surgical intervention. This is a report of a woman with recurrent submandibular sialolithiasis after surgical intervention. Several characteristics of this patient indicate that she may have been predisposed to recurrent stone formation. Patient and disease factors leading to recurrent salivary stone formation are not well known. Notwithstanding, there may be stone factors and intraoperative findings that aid in determining whether a patient is likely to be successfully treated with a gland-sparing approach...
October 18, 2016: Laryngoscope
Satvinder Singh Bakshi
No abstract text is available yet for this article.
October 11, 2016: American Journal of Medicine
Abdullah Aljasser, Jonathan M Grischkan
Sialoendoscopy has recently emerged as an alternative to gland excision in management of recurrent sialoadenitis and sialolithiasis. This technique has both diagnostic and therapeutic purposes. We report a case of unusual device failure during removal of a submandibular stone from Wharton's duct, which ultimately led to ductal avulsion. Sialoendoscopy is safe and effective in management of non-neoplastic major salivary gland disorders. Ductal avulsion can happen during mechanical procedures like stone removal or dilation of strictures...
November 2016: International Journal of Pediatric Otorhinolaryngology
Elise A Delagnes, Annick Aubin-Pouliot, Melissa Zheng, Jolie L Chang, William R Ryan
OBJECTIVES: To prospectively assess symptoms before and after sialendoscopy-assisted salivary duct surgery (SASDS) in patients with symptomatic sialadenitis without sialolithiasis. STUDY DESIGN: Prospective cohort study. METHODS: Patients with chronic obstructive sialadenitis without sialolithiasis (COSWS) completed the Chronic Obstructive Sialadenitis Symptoms (COSS) questionnaire prior to SASDS and 3 months postoperatively. RESULTS: Of 80 consecutive patients in a 20-month period, 20 surveyed patients underwent SASDS for COSWS in 37 symptomatic glands...
October 4, 2016: Laryngoscope
Jin-Qing Xiao, Hai-Jiang Sun, Qi-Hui Qiao, Xin Bao, Chuan-Bin Wu, Qing Zhou
PURPOSE: The aim of the present study was to evaluate the therapeutic efficiency of sialendoscopy-assisted operations in the treatment of submandibular gland stones. MATERIALS AND METHODS: The data from 8 patients with sialolithiasis who underwent sialendoscopy from August 2015 to January 2016 at the Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University (Shenyang, China) were retrospectively reviewed. All the patients had undergone preoperative technetium-99m pertechnetate salivary gland scintigraphy...
August 27, 2016: Journal of Oral and Maxillofacial Surgery
Margaret A Ogden, Kristina W Rosbe, Jolie L Chang
PURPOSE OF REVIEW: Chronic sialadenitis can affect patients of all age ranges and typically presents as recurrent or chronic painful swelling of the salivary glands. In children, the most common cause of sialadenitis is juvenile recurrent parotitis. Salivary stones, or sialolithiasis, are a much less common cause. Historically, for patients with chronic sialadenitis who failed conservative management, salivary gland removal was the standard treatment option. Recently, however, sialendoscopy has emerged as an effective gland-preserving procedure for sialadenitis evaluation and treatment in adults and children...
December 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
Benjamin Togan, Thomas Gander, Martin Lanzer, Rücker Martin, Heinz-Theo Lübbers
PURPOSE: The purpose of the present study was to determine the frequency of relevant nondental related incidental findings in cone-beam computed tomography (CBCT) of the head and neck. MATERIAL AND METHODS: Nine hundred ninety-nine images were retrospectively reviewed for incidental findings. Those were defined as carotid artery calcification (CAC), paranasal sinus findings (PSF), sialolithiasis of the parotid gland (SP) or submandibular gland (SSub), calcification of the ligamentum stylohyoideum (CLS), and Stafne bone cavity (SBC)...
September 2016: Journal of Cranio-maxillo-facial Surgery
Kayhan Ozturk, Omer Erdur, Ceren Aksoy
Obstructive adenitis is common disorder of submandibular gland. Sialolithiasis is the most common etiologic factor causing obstruction. If a sialolith is not detected, chronic obstruction of salivary glands is called nonspecific sialoadenitis. Foreign body-associated sialoadenitis of submandibular gland is very rare within the literature. In this study, the authors presented a patient having an unrecognized foreign body in the submandibular gland beside the duct that was causing chronic sialoadenitis. Foreign bodies must be explored and all suspected areas must be examined carefully for avoiding secondary problems and surgeries in the future...
October 2016: Journal of Craniofacial Surgery
Chin-Hui Su, Kuo-Sheng Lee, Jui-Hsien Hsu, Fei-Peng Lee, Hsiang-Yu Lin, Shuan-Pei Lin, Shih-Han Hung
BACKGROUND/PURPOSE: The sialendoscopic approach in treating pediatric salivary gland disorders has been reported with great success through the years. Whereas this success has been widely reported in Caucasian populations, relatively little has been reported regarding the use of this procedure in pediatric patients in Asian countries. The purpose of this study is to report our preliminary experience in pediatric sialendoscopy. METHODS: The data from 20 patients (<18years old), who underwent sialendoscopy for obstructive sialoadenitis in the Department of Otorhinolaryngology of Mackay Memorial Hospital between October 2013 and November 2015, were reviewed...
October 2016: Journal of Pediatric Surgery
Amber V K Buhler, Pearl Huynh, Pauline Low, Mary Von
Topiramate is an antiepileptic drug indicated for the treatment of seizure disorders, migraine prophylaxis, and, more recently, weight loss. This new indication will likely increase the use of this agent significantly. As a carbonic anhydrase inhibitor, topiramate can affect the pH of bodily fluids and is known to increase the risk of nephrolithiasis. However, as discussed in the present report, these properties also result in an as yet unaddressed risk of the development of sialoliths, calcified stones formed in the salivary duct or glands...
December 2016: Journal of Oral and Maxillofacial Surgery
Tomasz Kopeć, Małgorzata Wierzbicka, Jarosław Kałużny, Anna Młodkowska, Witold Szyfter
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...
September 2016: British Journal of Oral & Maxillofacial Surgery
B Hofauer, A Chaker, T Strenger, M Bas, N Mansour, A Knopf
Swelling of single or multiple major salivary glands can be caused by various local or systemic diseases. In differential diagnosis, congenital cystic or vascular malformations should be considered, as well as infectious or tumorous alterations. Salivary duct obstructions due to sialolithiasis or stenosis can cause salivary gland enlargement. Multiple systemic diseases can have manifestations in the parotid or submandibular glands. As therapy varies from cause to cause, knowledge of the different potential diagnoses is crucial...
May 2016: HNO
Kelly Brown, Tricia Cheah, Jennifer F Ha
Parotid gland sialolithiasis is an uncommon condition that can cause pain and recurrent infection in affected patients. Migration of a stone through a fistula is a rare but possible complication of untreated sialolithiasis. We present a case of parotid gland sialolithiasis in a 63-year-old woman with recurrent episodes of parotitis and facial pain, which resolved through spontaneous extrusion of the stone (11 mm) through a cutaneous fistula while awaiting surgery. Management is typically conservative or surgical, depending on the location and size of the stone, and the clinical presentation...
2016: BMJ Case Reports
Rohan R Walvekar, Henry T Hoffman, Jack Kolenda, Stephen Hernandez
The purpose of this study is to evaluate the efficacy of endoscopic fragmentation and removal of artificial calculi in a live porcine model employing intracorporeal pneumatic lithotripsy. In this experimental study, 7 submandibular ducts were accessed and artificial calculi placed. A salivary pneumatic lithotripter probe was inserted through an interventional sialendoscope to fragment the calculi. A salivary duct catheter was then used to flush stone fragments, followed by endoscopy to assess complete fragmentation and ductal trauma...
June 2016: Otolaryngology—Head and Neck Surgery
M M Omezli, F Ayranci, E Sadik, M E Polat
Sialolithiasis is the most common disease of salivary glands. Its estimated frequency is 1.2% in the adult population. Sialoliths most commonly occur in the submandibular glands. The sublingual gland and minor salivary glands are rarely affected. The sialolith usually measures from 1 to <10 mm. Giant sialoliths are classified as those exceeding 15 mm in any one dimension. In literature, large sialoliths or megalith (> mm) of Wharton's duct have rarely been reported. This case report describes a patient presenting with an unusually large sialolith (megalith) of Wharton's duct, which was 37 mm ×16 mm in the size, the subsequent patient management, the etiology, diagnosis, and its treatment...
May 2016: Nigerian Journal of Clinical Practice
Annick Aubin-Pouliot, Elise A Delagnes, Jolie L Chang, William R Ryan
OBJECTIVES/HYPOTHESIS: To prospectively assess symptoms of obstructive sialadenitis before and after sialendoscopy-assisted salivary duct surgery (SASDS) using the chronic obstructive sialadenitis symptoms (COSS) questionnaire to determine and predict impact of interventions. STUDY DESIGN: Prospective cohort study. METHODS: Adult patients with chronic obstructive sialadenitis who underwent SASDS were asked to complete the COSS questionnaire and the Short-Form-8 (SF-8) quality-of-life (QOL) survey prior to surgery and 3 months postoperatively...
June 2016: Laryngoscope
A J Yiu, A Kalejaiye, R L Amdur, H N Todd Hesham, B C Bandyopadhyay
To further define potential factors that may contribute to stone formation in salivary glands (sialolithiasis), a retrospective chart review was performed of patients diagnosed with sialolithiasis between March 1, 1998 and February 29, 2012. Information on salivary gland stone number, location and size, medical history, medications, and serum electrolyte levels were collected. Associations between electrolyte levels and stone characteristics (such as stone number and size) were examined. Fifty-nine patients were identified; their median age was 58 years (range 25-89 years) and most were male (95%)...
June 2016: International Journal of Oral and Maxillofacial Surgery
Alvaro Sanchez Barrueco, Jessica Santillan Coello, Beatriz Sobrino Guijarro, Jose Miguel Villacampa Aubá, Carlos Cenjor Español
BACKGROUND: Accessory submandibular gland is a very rare anatomical variant. There have been only 6 reported cases of this entity in the English literature, only 1 of which was identified using magnetic resonance imaging. METHODS: We report the case of a 39-year-old female with symptoms of left submandibular sialoadenitis who was diagnosed of sialolithiasis within the left accessory submandibular gland by magnetic resonance sialography (MR-Si). RESULTS: The calculus was palpated near the submandibular papilla and was extracted by an intraoral approach...
March 9, 2016: Annals of Otology, Rhinology, and Laryngology
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