Abstract
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.
Similar content being viewed by others
References
Cordesmeyer R, Winterhoff J, Kauffmann P, Laskawi R (2016) Sialoendoscopy as a diagnostic and therapeutic option for obstructive diseases of the large salivary glands—a retrospective analysis. Clin Oral Investig 20(5):1065–1070. https://doi.org/10.1007/s00784-015-1588-z
Capaccio P, Ottaviani F, Manzo R, Schindler A, Cesana B (2004) Extracorporeal lithotripsy for salivary calculi: a long-term clinical experience. Laryngoscope 114(6):1069–1073. https://doi.org/10.1097/00005537-200,406,000-00021
Capaccio P, Torretta S, Pignataro L (2009) Extracorporeal lithotripsy techniques for salivary stones. Otolaryngol Clin N Am 42(6):1139–1159. https://doi.org/10.1016/j.otc.2009.08.003
Schmitz S, Zengel P, Alvir I, Andratschke M, Berghaus A, Lang S (2008) Long-term evaluation of extracorporeal shock wave lithotripsy in the treatment of salivary stones. J Laryngol Otol 122(1):65–71. https://doi.org/10.1017/S0022215107007396
Pniak T, Štrympl P, Staníková L, Zeleník K, Matoušek P, Komínek P (2016) Sialoendoscopy, sialography, and ultrasound: a comparison of diagnostic methods. Open Med 11(1):461–464. https://doi.org/10.1515/med-2016-0081
Goates AJ, Kung RW, Tracy CR, Hoffman HT (2017) Intraductal laser fiber tip fracture and retrieval during sialendoscopic laser-assisted lithotripsy. Ann Otol Rhinol Laryngol 126(11):774–777. https://doi.org/10.1177/0003489417728736
McGurk M, Escudier MP, Brown JE (2005) Modern management of salivary calculi. Br J Surg 92(1):107–112. https://doi.org/10.1002/bjs.4789
Serbetci E, Sengor GA (2010) Sialendoscopy: Experience with the first 60 glands in Turkey and a literature review. Ann Otol Rhinol Laryngol 119(3):155–164
Zenk J, Koch M, Klintworth N et al (2012) Sialendoscopy in the diagnosis and treatment of sialolithiasis: a study on more than 1000 patients. Otolaryngol - Head Neck Surg (United States) 147(5):858–863. https://doi.org/10.1177/0194599812452837
Iro H, Zenk J, Escudier MP et al (2009) Outcome of minimally invasive management of salivary calculi in 4,691 patients. Laryngoscope 119(2):263–268. https://doi.org/10.1002/lary.20008
Sionis S, Caria RA, Trucas M, Brennan PA, Puxeddu R (2014) Sialoendoscopy with and without holmium:YAG laser-assisted lithotripsy in the management of obstructive sialadenitis of major salivary glands. Br J Oral Maxillofac Surg 52(1):58–62. https://doi.org/10.1016/j.bjoms.2013.06.015
Koch M, Zenk J, Iro H (2009) Algorithms for treatment of salivary gland obstructions. Otolaryngol Clin N Am 42(6):1173–1192. https://doi.org/10.1016/j.otc.2009.08.002
Kopeć T, Szyfter W, Wierzbicka M (2013) Sialoendoscopy and combined approach for the management of salivary gland stones. Eur Arch Oto-Rhino-Laryngology 270(1):219–223. https://doi.org/10.1007/s00405-012-2145-x
Koch M, Iro H, Zenk J (2010) Stenosen und andere nicht steinbedingte Obstruktionen der Speicheldrüsenausführungsgänge. Moderne Therapiekonzepte1. HNO 58(3):218–224. https://doi.org/10.1007/s00106-009-2076-z
Phillips J, Withrow K (2014) Outcomes of holmium laser-assisted lithotripsy with sialendoscopy in treatment of sialolithiasis. Otolaryngol - Head Neck Surg (United States) 150(6):962–967. https://doi.org/10.1177/0194599814524716
Escudier MP, Brown JE, Putcha V, Capaccio P, McGurk M (2010) Factors influencing the outcome of extracorporeal shock wave lithotripsy in the management of salivary calculi. Laryngoscope 120(8):1545–1549. https://doi.org/10.1002/lary.21000
Desmots F, Chossegros C, Salles F, Gallucci A, Moulin G, Varoquaux A (2014) Lithotripsy for salivary stones with prospective US assessment on our first 25 consecutive patients. J Cranio-Maxillofacial Surg 42(5):577–582. https://doi.org/10.1016/j.jcms.2013.07.029
Nahlieli O (2015) Complications of sialendoscopy: Personal experience, literature analysis, and suggestions. J Oral Maxillofac Surg 73(1):75–80. https://doi.org/10.1016/j.joms.2014.07.028
Koch M, Mantsopoulos K, Schapher M, von Scotti F, Iro H (2016) Intraductal pneumatic lithotripsy for salivary stones with the StoneBreaker: preliminary experience. Laryngoscope 126(7):1545–1550. https://doi.org/10.1002/lary.25849
Durbec M, Dinkel E, Vigier S, Disant F, Marchal F, Faure F (2012) Thulium-YAG laser sialendoscopy for parotid and submandibular sialolithiasis. Lasers Surg Med 44(10):783–786. https://doi.org/10.1002/lsm.22094
Capaccio P, Torretta S, Ottavian F, Sambataro G, Pignataro L (2007) Modern management of obstructive salivary diseases. Acta Otorhinolaryngol Ital 27(4):161–172
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
Ethical approval was not required for this study.
Informed consent
Informed consent was not required for this study.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Galdermans, M., Gemels, B. Success rate and complications of sialendoscopy and sialolithotripsy in patients with parotid sialolithiasis: a systematic review. Oral Maxillofac Surg 24, 145–150 (2020). https://doi.org/10.1007/s10006-020-00834-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-020-00834-x