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1.
Int J Oral Maxillofac Surg ; 53(5): 382-388, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38092608

RESUMEN

The aim of this study was to propose a treatment strategy for intraglandular submandibular calculi based on calculus site. Seventy-three consecutive patients with impalpable intraglandular submandibular calculi were enrolled retrospectively. The calculi were classified as either post-hilar type, central type, or superficial type. Treatment approaches included transoral duct slitting (TDS), interventional basket retrieval (IBR), intraductal laser lithotripsy (ILL), and transcervical lithotomy (TCL). Complete calculus removal with gland preservation was achieved in 64 patients (87.7%). The success rate for post-hilar, central, and superficial calculi was 86.4% (51/59), 90.9% (10/11), and 100% (3/3), respectively. The treatment approach applied in patients with treatment success was TDS in 32 cases, IBR in 20, ILL in nine, and TCL in three. During follow-up (median 17.3 months), one patient experienced gland atrophy and three had ductal stenosis; the remaining 60 patients (93.8%, 60/64) had good clinical outcomes. In the eight failure cases operated by TDS, the deeply situated calculi could not be detached despite the parenchymal incision in five cases, while the procedure was ceased due to the patient's inability to cooperate in the other three cases. In the remaining failure case, the submandibular gland was sacrificed after calculus extraction via TCL. Application of the proposed treatment algorithm might help preserve gland function in patients with intraglandular submandibular calculi.


Asunto(s)
Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Humanos , Conductos Salivales/cirugía , Endoscopía/métodos , Estudios Retrospectivos , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/cirugía , Cálculos de las Glándulas Salivales/diagnóstico por imagen , Cálculos de las Glándulas Salivales/cirugía , Resultado del Tratamiento , Glándula Submandibular/cirugía , Algoritmos
2.
Int J Oral Maxillofac Surg ; 53(5): 389-392, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-37845088

RESUMEN

Lithiasis and stenosis may cause salivary duct dilatation due to the increased pressure in the duct upstream of the obstruction. Idiopathic dilatations, also called megaducts, with no associated increase in pressure, have only been described in the parotid gland. The aim of this study was to describe the characteristics of submandibular duct dilatation unrelated to lithiasis, stenosis, or an imperforate duct, to report the existence of submandibular megaducts. This retrospective single-centre study included patients treated at La Conception University Hospital, Marseille, France, between 2007 and 2019. Patients with submandibular duct dilatation of ≥4 mm confirmed by magnetic resonance imaging sialography (sialo-MRI), who also underwent sialendoscopy to identify any associated stenosis, were included. Patients with lithiasis, stenosis, an imperforate ostium, or a history of trauma or surgery to the floor of the mouth were excluded. Five patients (three female, two male) aged 30-76 years with idiopathic duct dilatations in nine submandibular glands were included. The most commonly reported symptoms were submandibular swelling, pruritus, and discomfort, mostly outside mealtimes. Recurrence of symptoms after treatment was frequent. This study is novel in describing submandibular megaducts as opposed to dilatation caused by high pressure associated with stenosis, with confirmation by sialo-MRI and sialendoscopy.


Asunto(s)
Litiasis , Enfermedades de la Glándula Submandibular , Humanos , Masculino , Femenino , Conductos Salivales/diagnóstico por imagen , Dilatación , Litiasis/patología , Estudios Retrospectivos , Glándula Submandibular/diagnóstico por imagen , Glándula Submandibular/patología , Constricción Patológica/diagnóstico , Constricción Patológica/patología , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/cirugía , Endoscopía/métodos , Dilatación Patológica/diagnóstico , Dilatación Patológica/patología
3.
J Craniofac Surg ; 34(5): 1563-1569, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37220721

RESUMEN

BACKGROUND: The aim of this study was to evaluate the therapeutic effect of gasless endoscopic submandibular gland excision through hairline approach and the safety, feasibility and practicability of this technique. METHODS: Twenty-five patients with submandibular gland lesions who underwent gasless endoscopic submandibular gland excision through hairline approach at the Department of Head and Neck Oncology of the West China Hospital of Stomatology from May 1 st 2021 to May 31 st 2022 were included in this prospective study. The variables were analyzed statistically with SPSS software version 23.0 (IBM Corp, Armonk, New York, USA). RESULTS: There was a female predominance (72%), female to male ratio was 2.6. The mean age was 30.6±10.2 years (range: 11 to 52 year). All 25 cases of endoscopic submandibular gland excision through hairline approach were done without conversion to conventional approach. This approach was indicated in 14 cases (56%) for pleomorphic adenoma, 8 cases (32%) for chronic sialadenitis, 2 cases (8%) for adenoid cystic carcinoma, and 1 case (4%) for lymphadenitis. The incision length mean was 4.8±0.4 mm (range: 4 to 5 mm); the operation duration mean was 100.6±39.7 min (range: 51 to 197 min); the intraoperative bleeding mean was 13.2±5.7 ml (range: 5 to 20 ml); the hospital length of stay mean was 4.5±0.8 days (range: 3 to 6 days). The follow-up mean was 10±3.4 months (range: 5 to 16 months). The patients were very satisfied with postoperative cosmetic result (score mean: 9.2±1). No recurrence of disease and complications such as postoperative bleeding, hematoma, nerve damage, skin necrosis, infection, and hair loss occurred. CONCLUSIONS: Gasless endoscopic submandibular gland excision through hairline approach is safe, feasible and practicable, resulting in a very satisfied cosmetic result without significant complications; the intraoperative bleeding is less, the operative field is clear, the operation duration decreases with accumulation of experience.


Asunto(s)
Enfermedades de la Glándula Submandibular , Glándula Submandibular , Humanos , Masculino , Femenino , Adulto Joven , Adulto , Glándula Submandibular/cirugía , Glándula Submandibular/patología , Estudios Prospectivos , Endoscopía/métodos , Cuello , Enfermedades de la Glándula Submandibular/cirugía
4.
BMJ Case Rep ; 16(5)2023 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-37217230

RESUMEN

A middle-aged male Caucasian had rejected previous offers of surgery for submandibular gland removal in the past due to concerns about surgical complications. He presented with a month's history of submandibular swelling and severe pain, which impeded his ability to eat. Prior to admission, he had been experiencing intermittent sialadenitis for several months. Cross-sectional imaging demonstrated a 16×12 mm migratory sialolith, located superficial to the right submandibular gland within a large loculated abscess. The patient underwent an incision and drainage of the abscess under general anaesthetic and the sialolith was expressed. He was discharged home with oral antibiotics and was followed up as an outpatient. This case serves to highlight a rare complication of chronic sialolithiasis.


Asunto(s)
Cálculos de las Glándulas Salivales , Sialadenitis , Enfermedades de la Glándula Submandibular , Persona de Mediana Edad , Humanos , Masculino , Cálculos de las Glándulas Salivales/diagnóstico por imagen , Cálculos de las Glándulas Salivales/cirugía , Absceso/diagnóstico por imagen , Absceso/etiología , Absceso/cirugía , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/cirugía , Glándula Submandibular/diagnóstico por imagen , Glándula Submandibular/cirugía , Sialadenitis/etiología , Sialadenitis/cirugía
5.
J Int Med Res ; 51(1): 3000605221148443, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36624984

RESUMEN

The formation of stone in the ductal system of the salivary gland is termed sialolithiasis, with the submandibular gland being the most commonly affected. The precise aetiology is unknown but certain factors peculiar to the submandibular gland accounts for its likelihood of developing a calculous disease. Stones are classified based on their dimension, and may be silent or present with symptoms attributable to the size, location and complications. Here, a 50-year-old female who presented with a painless swelling in the left submandibular region that had grown slowly over the previous year, is reported. Following clinical and radiologic evaluation, left submandibular stone disease was preoperatively diagnosed. The patient underwent sialoadenectomy with transient palsy of the marginal mandibular branch of the facial nerve. Histopathology confirmed sialolith (2.7 cm) with severe squamous metaplasia of the duct. This presentation demonstrates some peculiar features attributable to the size, vertical orientation and location of the stone, in addition to the compression of the gland, thick fibrous capsule and significant squamous metaplasia of the duct. These findings require further evaluation for optimal treatment in view of the emerging trends for managing sialolithiasis.


Asunto(s)
Carcinoma de Células Escamosas , Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Femenino , Humanos , Persona de Mediana Edad , Cálculos de las Glándulas Salivales/diagnóstico por imagen , Cálculos de las Glándulas Salivales/cirugía , Glándula Submandibular/diagnóstico por imagen , Glándula Submandibular/cirugía , Glándula Submandibular/patología , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/cirugía , Carcinoma de Células Escamosas/complicaciones
6.
Rev. Flum. Odontol. (Online) ; 1(60): 127-136, jan.-abr. 2023.
Artículo en Portugués | LILACS, BBO - Odontología | ID: biblio-1411347

RESUMEN

O defeito ósseo de Stafne foi considerado por muito tempo como um cisto ósseo por se apresentar radiograficamente de forma radiolúcida, circunscrita, com bordas delimitadas e em quase todos os casos unilateral. Hoje em dia já se sabe que é uma depressão e/ou cavidade óssea causada pelo alojamento da glândula submandibular ou parte dela e/ou seus tecidos adjacentes na região posterior da mandíbula, ou na região anterior em casos mais raros pelo alojamento da glândula sublingual. Sendo assim, o objetivo deste trabalho é realizar uma breve revisão da literatura acerca das características mais frequentes e suas variações desta anomalia anatômica. As buscas foram realizas em periódicos de artigos científicos publicado nas bases de dados eletrônicas: PubMed, Scielo e Google Acadêmico, contendo artigos científicos dos últimos dez anos nos idiomas inglês e português. Os dados mostram que o defeito ósseo de stafne tem predileção pelo sexo masculino, é assintomática, pois se trata de uma alteração anatômica, não requer tratamento, portanto cabe ao cirurgião dentista ter conhecimento, uma vez que este é encontrado de forma ocasional em radiografias panorâmicas para investigação de outras circunstancias, e que muitas vezes acaba levando o profissional odontólogo a realizar diagnósticos errôneos ou exames mutiladores como a biopsia que são desnecessários nesta situação pelo fato desta variação anatômica ter características muitos semelhantes aos cistos.


Stafne's bone defect was considered for a long time as a bone cyst because it presents radiographically in a radiolucent, circumscribed form, with delimited borders and, in almost all cases, unilateral. Nowadays it is known that it is a depression and / or bone cavity caused by the accommodation of the submandibular gland or part of it and / or its adjacent tissues in the posterior region of the mandible, or in the anterior region in rarer cases by the accommodation of the sublingual gland. Therefore, the objective of this work is to carry out a brief literature review of the more specific characteristics and their variations of this anatomical anomaly. Searches were performed in journals of scientific articles published in electronic databases: PubMed, Scielo and Academic Google, containing scientific articles from the last ten years in English and Portuguese. The data show that the stafne bone defect has a predilection for males, it is asymptomatic, as it is an anatomical alteration, does not require treatment, therefore it is up to the dental surgeon to be aware, once panoramic to investigate other circumstances, and that many Sometimes it ends up leading the dental professional to perform misdiagnosis or mutilating tests such as a biopsy, which are unnecessary in this situation because this anatomical variation has characteristics that are very similar to cysts.


Asunto(s)
Enfermedades de la Glándula Submandibular , Tejidos , Huesos , Radiografía Panorámica , Mandíbula
7.
Int J Oral Maxillofac Surg ; 52(5): 553-559, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-36210232

RESUMEN

The aim of this study was to evaluate the gland function of patients following endoscopy-assisted removal of impacted hilo-parenchymal stones in the Wharton's duct. The study cohort comprised 115 patients who had undergone successful endoscopy-assisted lithotomy for hilo-parenchymal stones (mean diameter 7.7 mm). Gland function was evaluated at a mean 12 months after surgery using ultrasonography, sialography, and/or sialometry. Postoperative ultrasonography of 51 affected glands revealed a regular gland size in 58.8%, normal parenchyma density in 51.0%, and ductal ectasia in 80.4%. Postoperative sialograms of 109 affected glands were scored as type I (approximately normal) in 13 cases, type II (saccular ectasia of the hilo-parenchymal duct with/without stenosis, and no contrast retention) in 64, type III (saccular ectasia of the hilo-parenchymal duct with/without stenosis, and mild contrast retention) in 23, and type IV (poor shape of the main duct with evident contrast retention) in nine cases. The existence of ductal ectasia corresponded well to larger stone cases (P = 0.002). In the postoperative sialometry of 35 patients with unilateral stones, differences between the two sides were insignificant (P > 0.05). For patients with hilo-parenchymal submandibular gland stones, endoscopy-assisted surgery and extended postoperative follow-up help preserve the gland with good function.


Asunto(s)
Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Diente Impactado , Humanos , Conductos Salivales/diagnóstico por imagen , Conductos Salivales/cirugía , Cálculos de las Glándulas Salivales/cirugía , Constricción Patológica , Dilatación Patológica , Endoscopía , Glándula Submandibular/cirugía
8.
Ear Nose Throat J ; 102(9): 563-565, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34056944

RESUMEN

The rate of salivary gland atrophy secondary to chronic obstructive sialolithiasis has not been well-documented. The combination of 5 imaging studies over 12 years in a patient with repeat imaging for an unrelated pathology provides a unique opportunity to assess glandular atrophy over time. We hope that this case will support previous literature with an in vivo representation of the rate of glandular atrophy.


Asunto(s)
Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Humanos , Cálculos de las Glándulas Salivales/complicaciones , Cálculos de las Glándulas Salivales/diagnóstico por imagen , Cálculos de las Glándulas Salivales/patología , Glándula Submandibular/diagnóstico por imagen , Glándula Submandibular/patología , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/etiología , Cabeza/patología , Atrofia
9.
Int J Pediatr Otorhinolaryngol ; 159: 111216, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35777140

RESUMEN

OBJECTIVE: To assess the evidence for pediatric sialolithiasis, including its demographic characteristics, diagnosis, and demonstrate the shift in its treatment paradigm. DESIGN: A systematic review of sources from the Medline and Embase databases was conducted from inception to Dec 4, 2020. Two researchers independently extracted data and assessed quality. PATIENTS: Patients under the age of 18 with sialolithiasis were included. MAIN OUTCOME MEASURES: Study design, cohort size, age, sex, symptoms, stone characteristics, diagnostic modality and intervention were collected data points. RESULTS: Forty-one studies with 243 patients were included in the review, of which 40 were case reports or series. Most stones were found in the submandibular gland (n = 210, 85.4%) and were single stones (n = 101, 71.1%). Average stone size was 7.7 mm. The most common diagnostic imaging modality used was ultrasound (n = 73, 47.4%), shifting from plain radiograph which was favoured in earlier years. Similarly, open gland excision was historically preferred, but since 2000, sialoendoscopy comprised 40.5% of all treatment modalities and continues to increase in prevalence, up to 52.1% by 2020. Extracorporeal shock wave lithotripsy was associated with the highest complication rate of 54.2%. CONCLUSIONS: The pediatric sialolithiasis diagnostic and therapeutic landscape has changed with ultrasound replacing plain radiographs, and sialoendoscopy replacing submandibular gland excision. Further high-level quality evidence research is required to refine the indications, effectiveness, and safety of sialoendoscopy in pediatric sialolithiasis.


Asunto(s)
Litotricia , Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Niño , Endoscopía/métodos , Humanos , Litotricia/métodos , Cálculos de las Glándulas Salivales/diagnóstico , Cálculos de las Glándulas Salivales/terapia , Glándulas Salivales , Glándula Submandibular/cirugía , Resultado del Tratamiento
10.
Clin Ter ; 173(3): 217-221, 2022 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-35612333

RESUMEN

Introduction: Salivary glands lithiasis (Sialolithiasis) is defined as calcified concretions in the salivary glands. Most common localization is in submandibular gland. Usually, submandibular stones are mainly located in Wharton's duct, whereas parotid stones are more often located in the gland parenchyma. Sialoliths are usually 5-10 mm in size, and stones more than 10 mm are unusual sizes. Exact etiology of sialolith formation is still unknown. Case Report: We discuss a case of a 70-year-old patient, presenting painful swelling and a giant submandibular gland sialolith successfully treated with open surgery. Conclusions: A careful anamnesis and physical examination of the patient are important in the diagnosis of sialolithiasis. In addition, several imaging techniques, such as panoramic X-rays and Ultrasound, can be applied. The management can be both medical and surgical.


Asunto(s)
Cálculos del Conducto Salival , Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Anciano , Humanos , Cálculos del Conducto Salival/diagnóstico por imagen , Cálculos del Conducto Salival/cirugía , Conductos Salivales/cirugía , Cálculos de las Glándulas Salivales/diagnóstico por imagen , Cálculos de las Glándulas Salivales/cirugía , Glándula Submandibular/diagnóstico por imagen , Glándula Submandibular/cirugía , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/cirugía
11.
J Craniofac Surg ; 33(8): e784-e785, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35119406

RESUMEN

ABSTRACT: Submandibular gland mucoceles, which are very rare cystic lesions, make differentiation from other cystic neck masses such as plunging ranula and cystic lymphatic malformation difficult. The authors report a rare huge submandibular gland mucocele with diagnostic difficulties. A 39-year-old woman with painless swelling in the left submandibular region underwent OK-432 injection therapy with a diagnosis of plunging ranula at another hospital. However, she was referred to our department for recurrent swelling. Computed tomography showed a well-circumscribed, multilocular, low-density lesion in the left submandibular region. Fine needle aspiration was performed, and the content of the cystic lesion was yellowish-brown serous fluid. After the fine needle aspiration, computed tomography was performed. The cystic lesion was radiologically diagnosed as submandibular gland mucocele. Therefore, the patient underwent endoscopically-assisted intraoral removal of the sublingual and submandibular glands under general anesthesia. The pathological diagnosis was submandibular gland mucocele.


Asunto(s)
Mucocele , Úlceras Bucales , Ránula , Enfermedades de la Glándula Submandibular , Femenino , Humanos , Adulto , Ránula/diagnóstico por imagen , Ránula/cirugía , Mucocele/diagnóstico por imagen , Mucocele/cirugía , Glándula Sublingual , Glándula Submandibular/patología , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/cirugía
12.
Laryngoscope ; 132(9): 1785-1791, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35043982

RESUMEN

OBJECTIVES: We hypothesized that ultrasonography for salivary gland stone detection would have a diagnostic accuracy similar to that confirmed by sialendoscopy, sialography, or surgery. Therefore, we evaluated the diagnostic characteristics of ultrasonography in terms of submandibular and parotid stone detection compared to confirmatory methods. METHODS: We searched PubMed, Embase, the Web of Science, SCOPUS, and the Cochrane database to October 31, 2021. The risk of bias was evaluated using the QADAS-2 tool. RESULTS: Ten studies involving 1393 patients were included in the analysis. The diagnostic odds ratio of ultrasonography was 162.6013 (95% confidence interval [CI] [53.9883; 489.7208] and I2 value 81.0%). The area under the summary receiver operating characteristic curve was 0.963. The sensitivity, specificity, negative predictive value, and positive predictive value were 0.8992 (95% CI [0.8534; 0.9318]; I2  = 79.9%), 0.9664 (95% CI [0.9290; 0.9844], I2  = 65.6%), 0.8076 (95% CI [0.7256; 0.8694]; I2  = 80.4%), and 0.9853 (95% CI [0.9629; 0.9943]; I2  = 77.4%), respectively. However, high-level among-study heterogeneity (I2 ≥ 50%) was evident, attributable to the inclusion of different glands. On subgroup analysis, significant differences in the negative predictive values (parotid gland only [0.9392], submandibular gland only [0.6718], and parotid and submandibular glands [0.8105]) were apparent. We found no significant among-study difference in the sensitivity, specificity, positive predictive value, or diagnostic odds ratio (P > .05). CONCLUSION: Ultrasonography usefully detects submandibular and parotid gland stones. Ultrasonography of the parotid gland was associated with the highest diagnostic accuracy, but further clinical studies are needed. LEVEL OF EVIDENCE: NA Laryngoscope, 132:1785-1791, 2022.


Asunto(s)
Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Humanos , Cálculos de las Glándulas Salivales/diagnóstico por imagen , Cálculos de las Glándulas Salivales/cirugía , Glándulas Salivales/diagnóstico por imagen , Sialografía , Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/cirugía , Ultrasonografía
13.
Sci Rep ; 12(1): 725, 2022 01 14.
Artículo en Inglés | MEDLINE | ID: mdl-35031620

RESUMEN

The burden of diabetes mellitus (DM) and associated complications is increasing worldwide, affecting many organ functionalities including submandibular glands (SMG). The present study aims to investigate the potential ameliorative effect of glycyrrhizic acid (GA) on diabetes-induced SMG damage. Experimental evaluation of GA treatment was conducted on a rat model of type I diabetes. Animals were assigned to three groups; control, diabetic and GA treated diabetic groups. After 8 weeks, the SMG was processed for assessment of oxidative stress markers, autophagy related proteins; LC3, Beclin-1 and P62, vascular regulator ET-1, aquaporins (AQPs 1.4 and 5), SIRT1 protein expressions in addition to LC3 and AQP5 mRNA expressions. Also, parenchymal structures of the SMG were examined. GA alleviated the diabetes-induced SMG damage via restoring the SMG levels of oxidative stress markers and ET-1 almost near to the normal levels most probably via regulation of SIRT1, AQPs and accordingly LC-3, P62 and Beclin-1levels. GA could be a promising candidate for the treatment of diabetes-induced SMG damage via regulating oxidative stress, autophagy and angiogenesis.


Asunto(s)
Autofagia/efectos de los fármacos , Diabetes Mellitus Tipo 1/tratamiento farmacológico , Diabetes Mellitus Tipo 1/fisiopatología , Ácido Glicirrínico/farmacología , Ácido Glicirrínico/uso terapéutico , Estrés Oxidativo/efectos de los fármacos , Fitoterapia , Enfermedades de la Glándula Submandibular/tratamiento farmacológico , Enfermedades de la Glándula Submandibular/fisiopatología , Glándula Submandibular/metabolismo , Glándula Submandibular/fisiopatología , Animales , Diabetes Mellitus Tipo 1/complicaciones , Diabetes Mellitus Tipo 1/metabolismo , Modelos Animales de Enfermedad , Ratas , Enfermedades de la Glándula Submandibular/etiología , Enfermedades de la Glándula Submandibular/metabolismo
14.
J Clin Ultrasound ; 50(2): 243-246, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-34287914

RESUMEN

Obstructive sialadenitis of the submandibular gland is most often caused by sialolithiasis and rarely by a foreign body. Here, we describe a patient with acute submandibular inflammation caused by a bamboo splinter. Transcutaneous and transoral ultrasound precisely located the splinter within Wharton's duct. Shortly thereafter, the bamboo splinter was spontaneously discharged while eating, which allowed complete remission of pain and swelling. Ultrasound confirmed the absence of the foreign body within Wharton's duct and relief of sialadenitis. Combined use of transcutaneous and transoral ultrasound can provide detailed information regarding the submandibular gland and foreign bodies, which enables proper treatment planning and adequate follow-up.


Asunto(s)
Cuerpos Extraños , Cálculos de las Glándulas Salivales , Sialadenitis , Enfermedades de la Glándula Submandibular , Cuerpos Extraños/diagnóstico por imagen , Humanos , Conductos Salivales , Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/diagnóstico por imagen
15.
Neuroradiol J ; 35(2): 243-246, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-34293986

RESUMEN

The present case study reports contrast-enhanced magnetic resonance findings in three patients with histopathologically proven IgG4-related chronic sclerosing sialadenitis of the submandibular gland. All three patients presented with painless swelling of the submandibular region. The contrast-enhanced T1-weighted images showed reticular enhancement of the swollen submandibular gland. Radiological-pathological correlation revealed that the characteristic reticular enhancement corresponded to fibrosis and to inflammatory cell infiltration in the interlobular septa and in the periductal region of the submandibular gland.


Asunto(s)
Sialadenitis , Enfermedades de la Glándula Submandibular , Humanos , Inmunoglobulina G , Imagen por Resonancia Magnética , Sialadenitis/diagnóstico por imagen , Glándula Submandibular/diagnóstico por imagen , Glándula Submandibular/patología
16.
Br J Oral Maxillofac Surg ; 60(2): 201-203, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34774349

RESUMEN

The article describes our exploration of a sialendoscopy-assisted transfacial sialolithotomy approach to intraparenchymal stones in the submandibular gland with gland preservation. Five patients with large intraparenchymal stones in the submandibular gland were included. Ultrasonography and computed tomograms (CT) were performed to locate the stones. As the large stones failed to be retrieved during endoscopy, patients were treated by a transfacial lithotomy approach with sialendoscopy. The glands were preserved in all cases. This approach can be considered an optional technique for the treatment of large intraparenchymal stones in the submandibular gland that fail to be removed during a transoral procedure.


Asunto(s)
Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Endoscopía/métodos , Humanos , Cálculos de las Glándulas Salivales/diagnóstico por imagen , Cálculos de las Glándulas Salivales/cirugía , Glándula Submandibular/diagnóstico por imagen , Glándula Submandibular/cirugía , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/cirugía , Ultrasonografía
17.
Laryngoscope ; 132(5): 1029-1033, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-34797568

RESUMEN

OBJECTIVE/HYPOTHESIS: To evaluate clinical outcomes following failed endoscopic extraction of salivary calculi and to assess any relation between clinical outcome and calculi location, number, size, and mobility. If sialendoscopy fails to extract the calculus, subsequent spontaneous passage of the calculus out of the ductoglandular system or secondary effects of sialendoscopy could mitigate the clinical impact of a residual sialolithiasis. STUDY DESIGN: Prospective observational study. METHODS: Prospective comparative study of endoscopic procedures for sialolithiasis performed in the Manukau Surgery Center, in Auckland, New Zealand, from 2010 to 2020. The recurrent symptoms and the variables related to the need for additional surgical intervention for salivary calculi were analyzed. RESULTS: Among the 465 sialendoscopy procedures, 154 (33.1%) were for obstructive sialolithiasis. Among these, there were 30 (19.4%) with unsuccessful stone extraction with re-operation for these failures performed in 14 of the 27 failed submandibular cases (52%) and 2 of the 3 parotids (66.7%). Location of calculi was a significant factor in predicting the need of further surgery. Patients with perihilar stones were 5 times more likely to have a failed procedure (P = .001). If the stone was intraglandular, the likelihood increased to 8.5 times (P = .005). The likelihood for a revision procedure increased almost 11 times if the stone was intraglandular (P = .004). Calculi size, mobility, multiple calculi, and presence of concurrent stenosis did not correlate with need for further surgery. CONCLUSIONS: A significant proportion of "failed" sialendoscopy did not require further intervention. Stone location was a significant factor in predicting a failed procedure and the need for re-intervention. Laryngoscope, 132:1029-1033, 2022.


Asunto(s)
Cálculos Salivales , Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Endoscopía/métodos , Humanos , Estudios Prospectivos , Estudios Retrospectivos , Cálculos de las Glándulas Salivales/diagnóstico , Cálculos de las Glándulas Salivales/cirugía , Enfermedades de la Glándula Submandibular/cirugía , Resultado del Tratamiento
18.
Radiol Oncol ; 55(3): 284-291, 2021 Aug 10.
Artículo en Inglés | MEDLINE | ID: mdl-33768767

RESUMEN

BACKGROUND: A sialendoscopy-assisted combined approach is well established in the surgery of sialolithiasis. In cases of proximal salivary stones, transcutaneous sialendoscopy-assisted extractions with parotid and submandibular gland preservation is the primary intention of treatment. We recently added computer tomography (CT) navigation to improve the results of this challenging surgery equally in both localizations. PATIENTS AND METHODS: Al l the patients who submitted to sialendoscopy and sialendoscopy-assisted procedures at the tertiary institution between January 2012 and October 2020 were included in the present study. From November 2019, CT navigation was added in cases with sialolithiasis and a presumably poor sialendoscopic visibility. We evaluated the parameters of the disease, diagnostic procedures, sialendoscopic findings and outcomes, with or without optical surgical navigation. RESULTS: We performed 178 successful salivary stone removals in 372 patients, of which 118 were combined sialendos-copy-assisted approaches, including 16 transcutaneous proximal, 10 submandibular and 6 parotid stone operations. Surgical navigation was used in six patients, four times for submandibular and twice for parotid sialolithiasis. These were all non-palpable, sialendoscopically invisible or partially visible stones, and we managed to preserve five of the six salivary glands. CONCLUSIONS: The addition of CT navigation to sialendoscopy-assisted procedures for non-palpable, sialendoscopically invisible and fixed stones is a significant advantage in managing sialolithiasis. By consistently performing sialendoscopy and related preservation procedures, we significantly reduced the need for sialoadenectomies in patients with obstructive salivary gland disease.


Asunto(s)
Endoscopía/métodos , Enfermedades de las Parótidas/cirugía , Cálculos de las Glándulas Salivales/cirugía , Enfermedades de la Glándula Submandibular/cirugía , Sistemas de Navegación Quirúrgica , Tomografía Computarizada por Rayos X/métodos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Anestesia Local/estadística & datos numéricos , Niño , Preescolar , Endoscopía/estadística & datos numéricos , Femenino , Marcadores Fiduciales , Humanos , Masculino , Persona de Mediana Edad , Enfermedades de las Parótidas/diagnóstico por imagen , Estudios Prospectivos , Radiografía Intervencional/métodos , Cálculos de las Glándulas Salivales/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Ultrasonografía/estadística & datos numéricos , Adulto Joven
19.
Vet Surg ; 50(3): 579-587, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33638933

RESUMEN

OBJECTIVE: To compare complications of dogs treated with mandibular and sublingual sialoadenectomy for sialocele using a lateral (LAT) or ventral paramedian (VPM) approach. STUDY DESIGN: Retrospective multicenter study. ANIMALS: Dogs (140) with mandibular and sublingual sialocele. METHODS: Medical records of dogs that underwent mandibular and sublingual sialoadenectomy through a LAT or VPM approach from 2004 to 2020 were reviewed. Clinical and histopathological findings were analyzed to compare the groups. RESULTS: Seventy dogs were included in each group. The most represented breed was crossbreed (26%), and males (99/140 [71%], intact/neutered) were overrepresented. Dogs in the VPM approach group were more likely to undergo digastricus tunnelization and placement of a drain or a bandage. Dogs in the LAT approach group were heavier and more likely to undergo excision of an inflammatory pseudocapsule. No difference was detected in complication rates between groups (LAT [20%], VPM [31%], P = .116). Recurrences were more likely after LAT approach (5/70 vs 0/70, respectively; P = .029), whereas wound-related complications were more likely after VPM approach (20/70 vs 9/70, respectively; P = .018). Prolonged duration of surgery was associated with an increased risk of recurrence, and none of the other variables affected the complication rate. CONCLUSION: Ventral paramedian approach for mandibular and sublingual sialoadenectomy was associated with a lower risk of recurrence but a higher risk of wound-related complications compared with LAT approach. CLINICAL SIGNIFICANCE: Ventral paramedian approach for mandibular and sublingual sialoadenectomy may be preferred to reduce recurrence in dogs with sialoceles, but wound-related complications are common.


Asunto(s)
Quistes/veterinaria , Enfermedades de los Perros/cirugía , Mucocele/veterinaria , Complicaciones Posoperatorias/veterinaria , Enfermedades de la Glándula Submandibular/veterinaria , Animales , Quistes/cirugía , Perros , Femenino , Masculino , Mucocele/cirugía , Complicaciones Posoperatorias/epidemiología , Estudios Retrospectivos , Enfermedades de la Glándula Submandibular/patología , Enfermedades de la Glándula Submandibular/cirugía
20.
Gerodontology ; 38(4): 437-440, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33586807

RESUMEN

OBJECTIVE: This article discusses the clinical significance of an unusual case of the simultaneous occurrence of 2 giant sialoliths within the ipsilateral submandibular gland and distal aspect of Wharton's duct in a 63-year-old patient. BACKGROUND: The majority of submandibular gland sialoliths are found in Wharton's duct, with fewer within the gland parenchyma. Giant sialoliths (exceeding 15 mm in size) are rare. MATERIALS AND METHODS: An asymptomatic, otherwise healthy older patient sought dental care and underwent a comprehensive oral and radiographic examination. RESULTS: A panoramic radiograph revealed 2 incidental radiopaque structures, representing giant sialoliths within the submandibular gland and along the distal segment of Wharton's duct. This synchronous finding apparently represents the first case reported in the geriatric literature. CONCLUSIONS: The detection of 1 salivary stone should heighten the scrutiny for additional stones. Practitioners should carefully weigh the risk of sialolith removal versus deferment of treatment in older medically compromised patients.


Asunto(s)
Cálculos del Conducto Salival , Cálculos de las Glándulas Salivales , Enfermedades de la Glándula Submandibular , Anciano , Humanos , Cálculos del Conducto Salival/diagnóstico por imagen , Cálculos del Conducto Salival/cirugía , Conductos Salivales/diagnóstico por imagen , Conductos Salivales/cirugía , Cálculos de las Glándulas Salivales/diagnóstico por imagen , Cálculos de las Glándulas Salivales/cirugía , Glándula Submandibular , Enfermedades de la Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/cirugía
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