Gland‐preserving surgery for salivary stones and the utility of sialendoscopes

Background Sialoendoscopy is the standard treatment for sialolithiasis; however, some patients may be unlikely to benefit from an endoscopic approach. This study assesses predictors of failure in the endoscopic management of sialoliths. Methods Patients treated for sialolithiasis from 2012 to 2017 a...

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Bibliographic Details
Published in:Head & neck 2019-05, Vol.41 (5), p.1320-1327
Main Authors: Fabie, Joshua E., Kompelli, Anvesh R., Naylor, Tate M., Nguyen, Shaun A., Lentsch, Eric J., Gillespie, M. Boyd
Format: Article
Language:English
Subjects:
Calcification (ectopic)
Endoscopy
Head and neck
Localization
Patients
salivary surgery
sialadenectomy
sialendoscopy
sialolithiasis
sialolithotomy
Surgery
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Summary:Background Sialoendoscopy is the standard treatment for sialolithiasis; however, some patients may be unlikely to benefit from an endoscopic approach. This study assesses predictors of failure in the endoscopic management of sialoliths. Methods Patients treated for sialolithiasis from 2012 to 2017 at two centers were stratified into 3 groups: successful interventional sialendoscopy, incisional sialolithotomy, and gland excision. Patient, disease, and surgical factors were compared. Results Interventional sialendoscopy was attempted in 156 of 206 cases and successful for 42 (27%). Endoscopically retrieved calculi were smaller (4.96 mm) compared to incisional sialolithotomy (7.90 mm). Nonendoscopic approaches were required more often in submandibular cases 87% (P ≤ .005). Palpable stones were present in 74% of incisional sialolithotomies (P 
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.25560