[The possibilities of endoscopic treatment of sialolithiasis]. / Vozmozhnosti éndoskopicheskogo metoda pri lechenii patsientov so sliunnokamennoi bolezn'iu.

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.

Indications for the Use of Sialoendoscopy in Sialolithiasis.

The aim of the study is to determine indications for the use of sialoendoscopy in the diagnosis and treatment of sialolithiasis. MATERIALS AND METHODS: The study involved 115 patients with sialolithiasis, who underwent cone beam computed tomography, ultrasound diagnosis of the salivary glands, and sialoendoscopy, in addition to the standard general clinical examination. RESULTS: Sialoendoscopy makes it possible to detect a stone, determine its shape, relative size, mobility, and assess the condition of the salivary ducts. It is impossible to obtain this information by other methods, though it is very important for treatment decision making. The design of the sialoscope and its special instruments make it possible to proceed with sialolith extraction immediately after detecting it. CONCLUSION: The absolute indication for the use of sialoendoscopy is mobile calculi less than 5 mm in diameter (L1 according to F. Marchal's LSD classification). In case of immobile sialoliths less than 4-8 mm in size, located in the main duct (L2), endoscopy should be used as a method supplementary to ductotomy. When sialoliths are located in the distal parts behind the areas of bending or stricture (L3a and L3b), the use of endoscopy is not indicated.

Analysis of efficiency of sialendoscopy in patients with sialolithiasis

The aim of this research was to analyze 106 clinical observations in which sialendoscopy was performed for diagnosis and treatment patients with sialolithiasis. This research showed, that endoscopy of the major salivary gland ductal system allows to obtain information not only on a sialolith, but also on a condition of ductal system. The obtained data define a method of further treatment. Sialendoscopy can be used not only as diagnostic method, but also as an independent method for sialolith removing or as an assistance. The possibility of sialolith removing depends on its mobility, the size of salivary stone, localization and a salivary duct condition.