Treatment outcomes of sialendoscopy for submandibular gland sialolithiasis: The minor axis of the sialolith is a regulative factor for the removal of sialoliths in the hilum of the submandibular gland using sialendoscopy alone

To assess the general guidelines for the removal of sialoliths for submandibular gland sialolithiasis using sialendoscopy alone. We analyzed 61 sialoliths treated using sialendoscopy in 42 patients with submandibular gland sialolithiasis. We evaluated the submandibular gland sialoliths and divided e...

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Veröffentlicht in:Auris, nasus, larynx nasus, larynx, 2018-08, Vol.45 (4), p.772-776
Hauptverfasser: Kondo, Norio, Yoshihara, Toshio, Yamamura, Yukie, Kusama, Kaoru, Sakitani, Eri, Seo, Yukako, Tachikawa, Mayako, Kujirai, Keiko, Ono, Erika, Maeda, Yasuyo, Nojima, Tomohito, Tamiya, Akiko, Sato, Emiri, Nonaka, Manabu
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container_issue 4
container_start_page 772
container_title Auris, nasus, larynx
container_volume 45
creator Kondo, Norio
Yoshihara, Toshio
Yamamura, Yukie
Kusama, Kaoru
Sakitani, Eri
Seo, Yukako
Tachikawa, Mayako
Kujirai, Keiko
Ono, Erika
Maeda, Yasuyo
Nojima, Tomohito
Tamiya, Akiko
Sato, Emiri
Nonaka, Manabu
description To assess the general guidelines for the removal of sialoliths for submandibular gland sialolithiasis using sialendoscopy alone. We analyzed 61 sialoliths treated using sialendoscopy in 42 patients with submandibular gland sialolithiasis. We evaluated the submandibular gland sialoliths and divided each case based upon the location: the Wharton’s duct or the hilum. We measured the major and minor axes of the sialoliths using a soft tissue computed-tomography (CT) scan and evaluated the removal rate of the sialoliths using sialendoscopy alone. The removal rate of the sialoliths in the Wharton’s duct (52.6%) was significantly higher than that in the hilum of the submandibular gland (26.1%) (P=0.042). The minor axis was significantly correlated to the treatment outcome of sialendoscopy alone for all cases (P=0.030). A significant correlation was observed for cases involving the hilum of the submandibular gland and the measurement of the minor axes of the sialoliths for the treatment outcome of sialendoscopy alone (P=0.009). The major axis showed no correlation with the treatment outcomes of sialendoscopy alone. The measurement of the minor axes of the sialoliths with a soft tissue CT scan was correlated with treatment outcome of sialendoscopy alone for all cases, particularly sialoliths in the hilum. The easurement of the major axis showed no correlation with outcomes of sialendoscopy alone.
doi_str_mv 10.1016/j.anl.2017.09.003
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The measurement of the minor axes of the sialoliths with a soft tissue CT scan was correlated with treatment outcome of sialendoscopy alone for all cases, particularly sialoliths in the hilum. The easurement of the major axis showed no correlation with outcomes of sialendoscopy alone.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>28935124</pmid><doi>10.1016/j.anl.2017.09.003</doi><tpages>5</tpages></addata></record>
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identifier ISSN: 0385-8146
ispartof Auris, nasus, larynx, 2018-08, Vol.45 (4), p.772-776
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Adult
Aged
Endoscopy
Female
Hilum
Humans
Male
Middle Aged
Minor axis
Otorhinolaryngologic Surgical Procedures - methods
Salivary Duct Calculi - diagnostic imaging
Salivary Duct Calculi - surgery
Salivary Ducts - diagnostic imaging
Salivary Ducts - surgery
Salivary Gland Calculi - diagnostic imaging
Salivary Gland Calculi - surgery
Sialendoscopy
Sialolithiasis
Size
Submandibular gland
Submandibular Gland Diseases - diagnostic imaging
Submandibular Gland Diseases - surgery
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
title Treatment outcomes of sialendoscopy for submandibular gland sialolithiasis: The minor axis of the sialolith is a regulative factor for the removal of sialoliths in the hilum of the submandibular gland using sialendoscopy alone
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