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1.
Stomatologiia (Mosk) ; 99(4): 64-66, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32692522

RESUMO

In a clinical case we report on the primary application of modern methods of visualization using augmented reality in the treatment of patients with sialolithiasis for the localization of salivary stone in the parenchyma of the parotid salivary gland. Impression was taken and individual splint with radiopaque marker and a cutout for a probe was made. The splint was used for spiral CT of the head and neck. In surgical intervention under endotracheal anesthesia with intubation through the nose, the splint was placed in the mouth with a tap and a surgeon visualized the projection of the stone on the skin using glasses. The method allows to visualize salivary stone at all stages of surgery, regardless of the type of access or hydrotreatment. However, this technique does not make it possible to estimate the depth of the stone, as well as if the salivary stone is not fixed in the duct there is a risk of changing its position. In this regard, the use of augmented reality has a promising direction and requires further research.


Assuntos
Cálculos das Glândulas Salivares , Realidade Aumentada , Humanos , Nariz , Glândulas Salivares
2.
Spec Care Dentist ; 40(3): 298-302, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32157734

RESUMO

Although there appears to be an overall trend of diminishing oral manifestations of HIV infection, evidence is emerging on the increased incidence of concomitant parotid gland enlargement and xerostomia. Furthermore, several case narrations and a limited series have suggested a possible association of sialolithiasis with highly active antiretroviral therapy, mostly involving the parotid gland. The aim of this report is to present a patient with a giant sialolith of the submandibular gland following a 27-year intake of various antiretrovirals for HIV infection and review the relevant literature.


Assuntos
Infecções por HIV , Cálculos das Glândulas Salivares , Xerostomia , Antirretrovirais , Terapia Antirretroviral de Alta Atividade , Humanos
3.
Oral Maxillofac Surg ; 24(2): 145-150, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32162129

RESUMO

PURPOSE: To assess the success rate and complications of sialendoscopy and sialolithotripsy for parotid sialolithiasis. MATERIALS AND METHODS: A total of 228 articles were identified by the electronic database search regarding the topics sialendoscopy and sialolithotripsy. Following independent then joint review of titles and abstracts, 109 articles were selected for the full review. Thirteen of these were chosen for data extraction from which 1285 patients with parotid salivary stones were identified. Extracted data included number of patients, age, gender, location, management, and outcomes. RESULTS: All articles combined, 1285 patients with parotid salivary stones were included with a successful treatment in 1139 patients. The success rated ranged from 71.4 to 100% with a mean of 88.7%. Both partial as complete success was achieved. Although minor complications were frequent, no major complications occurred. CONCLUSIONS: Sialendoscopy and sialolithotripsy are best suited as first choice treatment-if conservative therapy failed-for the management of parotid gland sialolithiasis. It is a valuable and feasible treatment option with no major complications. Selection of cases will ensure the best prognosis. Although there is no indefinite stone size, the smaller the calculus, the greater the probability of a symptom-free patient.


Assuntos
Cálculos das Glândulas Salivares , Endoscopia , Humanos , Glândula Parótida , Prognóstico , Estudos Retrospectivos , Resultado do Tratamento
5.
Laryngorhinootologie ; 98(11): 815-823, 2019 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-31739357

RESUMO

Sialolithiasis is one of the most common salivary gland diseases. The main symptom is acute swelling of a major salivary gland after food intake, whereby the submandibular gland is significantly more frequently affected compared to the parotid gland. In the course of the disease, recurrent sialadenitis occurs in many cases. In addition to submandibulectomy, there is currently not only the possibility of improved diagnostics but also of gland-preserving therapy, for example by means of miniature endoscopy (sialendoscopy).


Assuntos
Cálculos das Glândulas Salivares , Sialadenite , Endoscopia , Humanos , Glândula Submandibular , Resultado do Tratamento
6.
AJR Am J Roentgenol ; 213(6): 1291-1296, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31573848

RESUMO

OBJECTIVE. This study aims to compare the diagnostic accuracy of virtual unenhanced CT images derived from dual-source dual-energy contrast-enhanced CT with that of standard unenhanced CT images for evaluation of sialolithiasis. MATERIALS AND METHODS. All dual-energy CT studies of the neck performed during the preceding 5 years were reviewed for submandibular gland calculi. Only patients who had unenhanced CT and contrast-enhanced CT performed as part of the same evaluation were included in this study. This review yielded 30 patients. Virtual unenhanced CT images were derived from the dual-energy dataset and compared with the true unenhanced CT images by two separate radiologists who assessed the total number of calculi encountered, their location, the largest dimension, and the attenuation of the calculi. The radiation burden incurred for true unenhanced CT and virtual unenhanced CT and the total radiation burden were calculated. RESULTS. Our analysis revealed that measurements of stone size showed good interobserver agreement. The mean stone size was 7.9 ± 5.9 (SD) mm on virtual unenhanced CT and 8.4 ± 5.9 mm on true unenhanced CT (range, 2.0-31.8 mm); the difference was statistically insignificant. The mean stone attenuation differed considerably (p < 0.01) between the virtual and true unenhanced CT images (494.8 ± 187.5 HU and 924.4 ± 374.9 HU, respectively), but correlated well. The mean radiation dose for a dual-phase IV contrast-enhanced CT study was 23.13 mGy (volume CT dose index). The mean dose was 10.93 mGy for the true unenhanced CT phase, thereby suggesting a 47.25% reduction in administered radiation dose when a single-phase contrast-enhanced CT study with virtual unenhanced image reconstructions is performed. CONCLUSION. Virtual unenhanced CT images derived from dual-source dual-energy CT scans of the neck provide accurate assessment of sialolithiasis akin to that provided by conventional CT protocols but at only a fraction of the radiation dosage.


Assuntos
Imagem Radiográfica a Partir de Emissão de Duplo Fóton/métodos , Cálculos das Glândulas Salivares/diagnóstico por imagem , Glândula Submandibular/diagnóstico por imagem , Adolescente , Adulto , Meios de Contraste , Feminino , Humanos , Iohexol , Masculino , Pessoa de Meia-Idade , Doses de Radiação , Interpretação de Imagem Radiográfica Assistida por Computador , Reprodutibilidade dos Testes , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/métodos
7.
BMJ Case Rep ; 12(8)2019 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-31466959

RESUMO

Kuttner's tumour, also known as chronic sclerosing sialadenitis, is a localised form of IgG4 disease which presents as asymptomatic submandibular gland swelling. The diagnosis is usually based on histopathology and immunohistochemistry. A 33-year-old woman presented with acute-onset pain and swelling in the right submandibular region. Clinical examination showed an enlarged submandibular gland, and CT showed a calculus in the Wharton's duct. After treating the acute phase with antibiotics, the patient underwent submandibular gland excision and calculus removal. Histopathology of the specimen showed areas of periductal sclerosis, acinar atrophy and intense lymphoplasmacytic infiltrates with occasional eosinophils. The IgG4 to IgG plasma cell ratio was >40%, suggestive of an IgG4-related disease. The authors have chosen to report this case because of the unusual presentation of IgG4 disease as acute sialadenitis.


Assuntos
Cálculos das Glândulas Salivares/diagnóstico por imagem , Sialadenite/diagnóstico por imagem , Glândula Submandibular/diagnóstico por imagem , Adulto , Feminino , Humanos , Imunoglobulina G/sangue , Ductos Salivares/diagnóstico por imagem , Ductos Salivares/cirurgia , Cálculos das Glândulas Salivares/imunologia , Cálculos das Glândulas Salivares/cirurgia , Sialadenite/imunologia , Sialadenite/cirurgia , Glândula Submandibular/cirurgia , Tomografia Computadorizada por Raios X
10.
Stomatologiia (Mosk) ; 98(3): 60-64, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31322597

RESUMO

The endosialoscopy method has opened the possibility of atraumatic removal the stones from large salivary glands. The advantage of endosialoscopic extraction of sialolithes over traditional methods of ductotomy and removal of the gland does not cause doubts, but the indications for its use are not yet clearly defined. This study analyzes the results of 75 surgical endoscopic interventions for salivary stones extraction.


Assuntos
Endoscopia , Cálculos das Glândulas Salivares , Humanos , Cálculos das Glândulas Salivares/terapia , Glândulas Salivares
11.
Int J Oral Maxillofac Surg ; 48(12): 1520-1524, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31337528

RESUMO

The conservative transoral approach to hilo-parenchymal submandibular stones has been proposed as an alternative to traditional sialadenectomy. The main purpose is to preserve the gland and eliminate the risk of a cervical scar and damage to the marginal mandibular branch of the facial nerve. The spread of transoral robotic surgery has favoured its application not only in the oropharynx, but also in the anterior oral cavity. This article describes a transoral robotic approach for hilo-parenchymal submandibular stones. In January 2019, two patients with a right and a left hilo-parenchymal submandibular stone of 15mm and 8mm, respectively, underwent removal of the stone with transoral robotic surgery using the Si Da Vinci surgical robot. The procedure was performed successfully and tolerated well, with a one-night hospitalization. There were no complications such as lingual nerve damage, painful gland swelling, infection, or ranula. The patients were followed up clinically and ultrasonographically for the first 3 months to verify symptom relief and persistence of stones; no symptoms or stones were found. The transoral robotic surgical approach seems to be safe and adequate for the conservative management of large hilo-parenchymal submandibular stones. An adequate diagnosis together with proper docking and an appropriate approach to the oral floor is mandatory.


Assuntos
Rânula , Procedimentos Cirúrgicos Robóticos , Robótica , Cálculos das Glândulas Salivares , Humanos , Glândula Submandibular
12.
Br J Oral Maxillofac Surg ; 57(6): 582-586, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31178079

RESUMO

Sialolithiasis is one of most common diseases to affect major salivary glands, with a symptomatic incidence of 27 cases per million per annum. The majority form within the submandibular gland where minimally-invasive treatments have all but eliminated adenectomy. All records of patients presenting with submandibular stones between 1997 and 2015 were reviewed. Stones <5mm were retrieved through endoscopic or radiographic techniques, 5-7mm stones were initially considered for extra-corporeal shock wave lithotripsy, but after poor results were treated through intraoral surgical removal with those >7mm. Follow up was performed at 1 week and 3 months with current status performed with postal and telephone questionnaires. 378 patients had 424 stones removed, successful retrieval in 94% (n=356), with 50 having had previous failures. Median number of stones per patient was 1 (range 1-4), with a mean size of 8.6mm (SD 4.5mm) mainly located at the hilum (50.5%), anterior duct (30%) and Genu (17%). 256 patients (65%) treated through intraoral surgical extraction, 92 (24%) endoscopic alone. Inpatient stay was 1.4 days in first third and 0.5 days in final third. Adenectomy occurred in 14 patients, due to failure to retrieve the sialolith or unresolved symptoms. Complications involved 11 patients with permanent paraesthesia, 7 ranulas and 14 strictures. Patients with preoperative strictures were more likely to develop complications (p=0.002) with paraesthesia being most common. Intraoral minimally-invasive surgery is aesthetic, curative and spares the risk to marginal mandibular nerve and submandibular gland. Length of inpatient stay improved and ranula risk reduced throughout the study.


Assuntos
Procedimentos Cirúrgicos Minimamente Invasivos , Cálculos das Glândulas Salivares , Doenças da Glândula Submandibular , Endoscopia , Estética Dentária , Humanos , Cálculos das Glândulas Salivares/cirurgia , Glândula Submandibular , Doenças da Glândula Submandibular/cirurgia
13.
Medicine (Baltimore) ; 98(25): e16153, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31232971

RESUMO

This study aimed to evaluate the association between cholelithiasis and sialolithiasis using a national sample cohort in Korea.The Korean National Health Insurance Service-National Sample Cohort (patients ≥20 years old) was collected from 2002 to 2013. In study I, we extracted cholelithiasis patients (n = 21,170) and 1:4 matched control I subjects (n = 84,680) and analyzed the occurrence of sialolithiasis. In study II, we extracted sialolithiasis patients (n = 761) and 1:4 matched control II subjects (n = 3044) and analyzed the occurrence of cholelithiasis. Hazard ratios (HRs) were determined using the stratified Cox proportional hazard model.The HR for sialolithiasis was 1.49 (95% CI = 0.88-2.52) in the cholelithiasis group (P = .14), and the HR for cholelithiasis was 1.18 (95% CI = 0.53-2.59) in the sialolithiasis group (P = .69).We did not find an association between cholelithiasis and sialolithiasis.


Assuntos
Colelitíase/fisiopatologia , Cálculos das Glândulas Salivares/fisiopatologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Colelitíase/epidemiologia , Estudos de Coortes , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , República da Coreia/epidemiologia , Cálculos das Glândulas Salivares/epidemiologia
14.
Ear Nose Throat J ; 98(6): 362-365, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31138028

RESUMO

INTRODUCTION: Surgical site infection (SSI) is a common complication in surgery. In head and neck surgeries, different rates are reported in the indexed literature. Nowadays, this indiscriminate use of antibiotics is associated with increased cost and risks for patients. Antimicrobial misuse has also contributed to the development of antibiotic-resistant bacteria. PATIENTS AND METHODS: A total of 204 patients were included in this observational retrospective cohort study. The primary outcome of this study was to describe the rate of SSI. Wound infection was considered as SSI and was defined as any cellulitis or pus drainage requiring treatment with antibiotics. RESULTS: Of all, 127 were included in group A (not antibiotic) and 77 in group B (antibiotic prophylaxis); 109 (53.5%) patients were male, and 97 (47.5%) were female. Four (3.14%) patients developed SSI in group A and 3 (3,89%) developed SSI in group B, being not statistically significant (P = .592). In group A, 2 patients suffered SSI after a submandibular gland resection (SGR), 1 patient after a parotid gland resection (PGR), and another one after a branchial cleft cyst resection. In group B, 1 patient suffered SSI after an SGR and 2 after a PGR. On univariate and multivariate analyses, we did not find any variable associated with the development of SSI. CONCLUSION: According to our results, the prophylactic antibiotic in clean, benign head and neck surgery is not necessary. Nevertheless, physicians and surgeons should be aware that severe or even fatal SSIs might be developed, and it needs to be explained to our patient before any surgery.


Assuntos
Antibioticoprofilaxia/estatística & dados numéricos , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Infecção da Ferida Cirúrgica/epidemiologia , Adenolinfoma/cirurgia , Adenoma Pleomorfo/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Branquioma/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Glândula Parótida/cirurgia , Estudos Retrospectivos , Cálculos das Glândulas Salivares/cirurgia , Neoplasias das Glândulas Salivares/cirurgia , Glândula Submandibular/cirurgia , Adulto Jovem
15.
Int J Surg Pathol ; 27(7): 753-756, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31104526

RESUMO

Intravascular papillary endothelial hyperplasia (IPEH) or so-called Masson hemangioma is a benign nonneoplastic thrombus-associated organizing proliferation. De novo or secondary IPEHs are not uncommon oral lesions. An associated oral phlebolith is uncommon. Oral IPEHs and phleboliths can be diagnostically challenging. Certain histomorphologic features are helpful clues. Immunohistochemistry is a useful confirmatory tool. We present a case of an IPEH with phlebolith in a 37-year-old healthy lady who presented with a nodular lesion of the tongue. Histology showed a calcific nodule associated with an endothelial-lined vascular lesion with histomorphologic and immunohistochemical features of IPEH. The presence of a solitary extruded phlebolith could be challenging for pathologists and could be confused with other oral calculi, particularly sialoliths. The presence of papillary fronds, endothelial-lined minute vascular channels, fibrin thrombi, and hemosiderin pigment on the surface of the calculus points to a calcified thrombus. The lamellated concentric onion ring layers corresponding to Zahn lines around a central calcific nidus is another hint. Phleboliths should be considered by pathologists in their differential diagnosis of oral calculi. Distinction from sialolith is clinically important because the etiology and management are different.


Assuntos
Endotélio Vascular/patologia , Hemangioma/diagnóstico , Cálculos das Glândulas Salivares/diagnóstico , Doenças da Língua/diagnóstico , Calcificação Vascular/diagnóstico , Adulto , Doenças Assintomáticas , Diagnóstico Diferencial , Feminino , Hemangioma/complicações , Hemangioma/patologia , Humanos , Hiperplasia/diagnóstico , Hiperplasia/patologia , Cálculos das Glândulas Salivares/patologia , Língua/irrigação sanguínea , Língua/patologia , Doenças da Língua/patologia , Calcificação Vascular/etiologia , Calcificação Vascular/patologia
17.
Ear Nose Throat J ; 98(5): 287-290, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30961382

RESUMO

INTRODUCTION: Sialolithiasis is the most common pathology in the submaxillary gland. The introduction of minimally invasive techniques isolated or associated with sialoendoscopy is replacing glandular resection as a treatment. The conservation of the gland is justified by the recovery of function and a low recurrence rate. The rate of complications is lower in conservative techniques than in submandibular gland resection. PATIENTS AND METHODS: Thirty-three patients with fixed stones in the hilum of the submaxillary gland were treated by transoral sialolitectomy between July 2015 and July 2018, demographic data of the patients such as the number of stones, size, time of hospital stay, complications, pre- and postoperative lingual nerve function, and lithiasis recurrence were collected. RESULTS: The average volume of the stones was 1.02 cm. Complete removal of the stone was possible in 32 patients. All the patients were operated in the outpatient clinic. Seven (21%) patients reported some degree of alteration of the lingual nerve function, of which the only one presented a persistence of more than 4 weeks due to an inadvertent injury that required a microsurgical anastomosis. CONCLUSIONS: Transoral sialolitectomy is a reproducible technique with good results and lower complication rates than submandibular gland resection. Our results in the first 33 cases encourage us to maintain the combined techniques as standard in the treatment of submaxillary sialolithiasis. Current experience guides the definitive substitution of submandibular gland resection by conservative techniques in obstructive pathology.


Assuntos
Procedimentos Cirúrgicos Bucais/métodos , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Complicações Pós-Operatórias , Cálculos das Glândulas Salivares , Glândula Submandibular , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cirurgia Endoscópica por Orifício Natural/efeitos adversos , Cirurgia Endoscópica por Orifício Natural/métodos , Procedimentos Cirúrgicos Bucais/efeitos adversos , Procedimentos Cirúrgicos Otorrinolaringológicos/efeitos adversos , Avaliação de Processos e Resultados em Cuidados de Saúde , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/cirurgia , Recidiva , Estudos Retrospectivos , Cálculos das Glândulas Salivares/diagnóstico , Cálculos das Glândulas Salivares/cirurgia , Espanha , Glândula Submandibular/diagnóstico por imagem , Glândula Submandibular/cirurgia
18.
Eur Arch Otorhinolaryngol ; 276(6): 1815-1822, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31028534

RESUMO

PURPOSE: To assess the susceptibility of salivary stones to bacterial biofilm formation, which may be involved in the development of salivary gland infection, and to investigate a relation between microbiological aspects and patient characteristics. METHODS: This prospective study comprises of 54 patients with sialolithiasis attended in Helsinki University Hospital during 2014-2016. A total of 55 salivary stones were removed, and studied for biofilm formation using fluorescence microscopy and sonication. The isolated organisms were quantified and identified using matrix-assisted laser desorption ionization time-of-flight mass spectrometry. RESULTS: Biofilm formation was confirmed on the surface of 39 (70.9%) stones. A total of 96 microorganisms were isolated from 45 salivary stones (81.8%). Two or more organisms were isolated in 33 (73.3%) cases. The main isolates were Streptococcus mitis/oralis (n = 27; 28.1%), followed by Streptococcus anginosus (n = 10; 9.6%), Rothia spp. (n = 8; 8.3%), Streptococcus constellatus (n = 7; 7.3%), and Streptococcus gordonii (n = 6; 6.2%). In all patients showing pre-operative (12 cases) or peri-operative (three cases) drainage of pus, the presence of biofilm was detected in microscopy (p = 0.004). Four patients showed post-operative infection, and in three of them (75.0%), the presence of biofilm was detected. Increased number of pus drainage was found among patients with reflux symptoms or use of proton-pump inhibitors. CONCLUSIONS: Salivary stones are susceptible to bacterial biofilm formation, which could be related with the development and severity of the inflammation and the refractory nature of the disease. Sonication of salivary gland stones could be a useful method for finding the etiology of the chronic infection.


Assuntos
Biofilmes , Endoscopia/efeitos adversos , Complicações Pós-Operatórias/epidemiologia , Cálculos das Glândulas Salivares/microbiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Cálculos das Glândulas Salivares/complicações , Cálculos das Glândulas Salivares/cirurgia , Resultado do Tratamento , Adulto Jovem
19.
Clin Oral Investig ; 23(11): 4145-4156, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30834990

RESUMO

OBJECTIVES: Sialolithiasis is the most common cause of chronic sialadenitis of the submandibular gland (SMG). Symptomatic superficial lobe stones are often treated by submandibulectomy. A gland preserving operation allows for transoral stone removal through endoscopically assisted sialolithotomy. Herein, we provide clinical and sonographical follow-up data in patients who underwent sialolithotomy under general anesthesia. MATERIALS AND METHODS: Sixty patients treated at the Department of Oral and Maxillofacial Surgery at Düsseldorf University Hospital for superficial lobe sialolithiasis of SMG were included in this study. All received transoral sialolithotomy under general anesthesia. Follow-up was conducted via standardized patient questionnaires, clinical examination, and B-mode and color Doppler sonography. RESULTS: Mean patient age was 48.9 years. 56.6% of right and 43.4% of left SMG were affected. Mean follow-up was 45 months. Fifty-five of 59 detected stones could be removed. Mean operation time was 71 min. 3.3% of patients reported recurrent episodes of postoperative pain and 10% felt recurrent episodes of gland swelling. Persistent postoperative lingual nerve hypesthesia was described in one patient. No facial nerve damages occurred. Salivary flow rates remained reduced in most of the affected glands upon stone removal. Sonographical follow-up data of the previously affected SMG after intraoral endoscopy-assisted sialolithotomy showed a regular gland size in 70.8% of cases, a parenchyma free of inflammation in 93.8%, and without signs of fibrosis in 72.9% of cases. 68.7% of patients showed a regular structure of Wharton's duct at time of follow-up. In total, 89.6% of patients were diagnosed stone-free within both glands on follow-up. No case required subsequent submandibulectomy. CONCLUSIONS: Sialolithotomy of Wharton's duct for removal of stones from the SMG's superficial lobe is a promising alternative to submandibulectomy. CLINICAL RELEVANCE: Reduction of postoperative morbidity through endoscopically assisted sialolithotomy for removal of superficial lobe stones from SMG. TRIAL REGISTRATION: Ethics Committee of Heinrich-Heine-University Düsseldorf (no. 5586).


Assuntos
Cálculos das Glândulas Salivares , Glândula Submandibular , Endoscopia , Humanos , Ductos Salivares , Cálculos das Glândulas Salivares/diagnóstico por imagem , Cálculos das Glândulas Salivares/cirurgia , Glândula Submandibular/diagnóstico por imagem , Ultrassonografia
20.
Laryngoscope ; 129(12): 2716-2720, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-30801712

RESUMO

OBJECTIVES/HYPOTHESIS: Ultrasound is a proven tool for diagnostic and therapeutic purposes for treatment of salivary gland pathology. It is also useful for localization of calculi during submandibular gland transoral sialolithotomy when calculi cannot easily be palpated. Our objective was to determine the efficacy of sialolith localization using ultrasound during submandibular gland sialolithotomy. STUDY DESIGN: Retrospective case series. METHODS: A study performed utilizing data compiled from 2009 through 2016 in a tertiary academic center. Treatment was completed in 164 patients with sialadenitis and sialolithiasis by submandibular gland transoral sialolithotomy in either the office (81%) or the operating room (19%). Ultrasound was used for localization of sialoliths during submandibular gland sialolithotomy. Main treatment outcomes studied were success of the procedure, complications, and follow-up. RESULTS: Successful sialolithotomy was performed in (147 patients) 90% of cases. Complications were minimal and included stricture formation, which occurred in 3% (five patients) of cases, followed by ranula formation in 1.8% (three patients) of cases. There were no incidences of lingual nerve injury. CONCLUSIONS: Ultrasound can be used effectively for precise sialolith localization intraoperatively. LEVEL OF EVIDENCE: 4 Laryngoscope, 129:2716-2720, 2019.


Assuntos
Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Cálculos das Glândulas Salivares/diagnóstico , Glândula Submandibular/diagnóstico por imagem , Ultrassonografia/métodos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Estudos Retrospectivos , Cálculos das Glândulas Salivares/cirurgia , Glândula Submandibular/cirurgia , Cirurgia Assistida por Computador
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