The treatment of sialolithiasis by sialolithotripsy
- Authors: Aliyev SZ1
-
Affiliations:
- Azerbaijan State Advanced Training Institute for Doctors named after academic Aziz Aliyev
- Issue: Vol 101, No 4 (2020)
- Pages: 586-589
- Section: Clinical experiences
- URL: https://medbiosci.ru/kazanmedj/article/view/33879
- DOI: https://doi.org/10.17816/KMJ2020-586
- ID: 33879
Cite item
Abstract
Aim. To study the effectiveness of treatment of sialolithiasis by sialolithotripsy.
Methods. Between 2015 and 2018, extracorporeal shockwave lithotripsy of salivary stones of 39 patients was performed in the Nasreddin Tusi Memorial Clinic. The stone was located in the submandibular gland and its duct for 33 patients and the parotid salivary glands and its duct for 6 patients. The average age of patients was 50±3.38 (between 22 and 77).
Results. Stone fragmentation as a result of sialolithotripsy was achieved in 36 (92.7%) of 39 examined patients (p=0.031). In 3 patients the stone was completely fragmented, but due to the narrow lumen of the main duct, it did not move away. In 3 patients with calculus size more than 2 cm, the stone was not fragmented. According to our results, the necessary effect was achieved in 85% of cases and was unachieved in only 15% of cases.
Conclusion. Given the complexity of the surgical treatment in patients with salivary stone and potential postoperative complications, especially with the stone localization within the parotid gland, we concluded that extracorporeal shockwave lithotripsy is a promising alternative treatment for patients with salivary stone.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
S Z Aliyev
Azerbaijan State Advanced Training Institute for Doctors named after academic Aziz Aliyev
Author for correspondence.
Email: saidaliyev@mail.ru
Azerbaijan, Baku, Azerbaijan
References
- Afanas'ev V.V., Tkalenko A.F., Abdusalamov M.R. Analysis of salivary pool composition in patients with different results of sialolithiasis treatment by sialo-lithotripsy. Stomatologiya. 2003; (5): 36–38. (In Russ.)
- Aiyekomogbon J.O., Babatunde L.B., Salam A.J. Submandibular sialolithiasis: The roles of radiology in its diagnosis and treatment. Ann. Afr. Med. 2018; 17 (4): 221–224. doi: 10.4103/aam.aam_64_17.
- Kao W.T.K., Chole R.A., Ogden M.A. Evidence of a microbial etiology for sialoliths. Laryngoscope. 2020; 130 (1): 69–74. doi: 10.1002/lary.27860.
- Perez-Tanoira R., Aarnisalo A., Haapaniemi A. et al. Bacterial biofilm in salivary stones. Eur. Arch. Otorhinolaryngol. 2019; 276: 1815. doi: 10.1007/s00405-019-05445-1.
- Abe A., Kurita K., Hayashi H., Minagawa M. A case of minor salivary gland sialolithiasis of the upper lip. Oral Maxillofac. Surg. 2019; 23 (1): 91–94. doi: 10.1007/s10006-019-00745-6.
- Syomkin V.A., Sogacheva V.V. Prevention of lingual nerve damage by removing stones from submandibular salivary gland duct. Stomatologiya. 2016; (5): 36–38. (In Russ.) doi: 10.17116/stomat201695536-38.
- Afanasiev V.V., Dubov D.V. Treatment of significant parotid duct deformities. Stomatologiya. 2013; (5): 38–39. (In Russ.)
- Sugiyama S., Iwai T., Ohashi N. et al. Airway obstruction caused by pharyngolaryngeal swelling after intraoral removal of a submandibular gland stone. Ther. Clin. Risk Manag. 2018; 14: 2323–2325. doi: 10.2147/TCRM.S180797.
- Iro H., Fodra C., Waitz G. et al. Shock wave lithotripsy of salivary duct stones. Lancet. 1992; 339: 1333–1336. doi: 10.1016/0140-6736(92)91968-E.
- Zenk J., Koch M., Iro H. Extracorporeal and intracorporeal lithotripsy of salivary gland stones: basic investigations. Otolaryngol. Clin. North Am. 2009; 42 (6): 1115–1137. doi: 10.1016/j.otc.2009.08.005.
- Khirurgicheskaya stomatologiya. Vospalitel'nye i distroficheskie zabolevaniya slyunnykh zhelez. Uchebnoe posobie. (Surgical dentistry. Inflammatory and dystrophic diseases of the salivary glands.) Ed. A.M. Panin. M.: Litterra. 2011; 208 р. (In Russ.)
- Abdulsalamov M.R., Afanasiev V.V., Gamatiev I.I. Shockwave lithotripsy in sialolithiasis patients. Stomatologiya. 2014; (2): 31–32. (In Russ.)
Supplementary files
