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Ultrasound-guided sialo-irrigation for the treatment of chronic sialodochitis with sialolithiasis

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Abstract

Sialolithiasis is one of the most common causes of salivary duct obstruction. In the last 20 years, minimally invasive procedures like sialendoscopy, extracorporeal lithotripsy, and basket snaring are increasingly being used for the treatment of salivary gland duct stones. Sialo-irrigation of the salivary gland is an effective procedure for treating inflammation and providing symptomatic relief. This procedure can be employed for the treatment of sialolithiasis using the back pressure of instilled saline. Sialo-irrigation under ultrasound (US) guidance allows for dynamic studies showing real-time images during diagnostic or surgical procedure and can be used for the removal of sialoliths. In addition, it can also be used to remove primitive sialoliths and microliths by washing out the ductal system, which prevents the recurrence of sialoliths. The aim of this study was to propose a minimally invasive technique for sialolithiasis using US-guided sialo-irrigation.

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Correspondence to Song Hee Oh.

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Eun Mi Kim, Sung Hyun Lee, Song Hee Oh, Gyu-Tae Kim, Yong-Suk Choi and Eui-Hwan Hwang declares that they have no conflict of interest.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5).

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Informed consent was obtained from all patients for being included in the study.

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Kim, E.M., Lee, S.H., Oh, S.H. et al. Ultrasound-guided sialo-irrigation for the treatment of chronic sialodochitis with sialolithiasis. Oral Radiol 37, 345–351 (2021). https://doi.org/10.1007/s11282-020-00495-2

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  • DOI: https://doi.org/10.1007/s11282-020-00495-2

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