Risk Factors for Complications of Intraoral Removal of Submandibular Sialoliths

Risk Factors for Complications of Intraoral Removal of Submandibular Sialoliths

Intraoral removal of submandibular sialoliths is a surgical technique for the treatment of sialolithiasis and is reported to have excellent outcomes. The aim of this study was to determine the risk factors leading to complications of this procedure. The medical records of 200 patients who had underg...

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Veröffentlicht in:Journal of oral and maxillofacial surgery 2018-04, Vol.76 (4), p.793-798
Hauptverfasser: Dong, Sung Hwa, Kim, Seok Hyun, Doo, Jeon Gang, Jung, Ah Ra, Lee, Young Chan, Eun, Young-Gyu
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Dentistry
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container_end_page 798
container_issue 4
container_start_page 793
container_title Journal of oral and maxillofacial surgery
container_volume 76
creator Dong, Sung Hwa
Kim, Seok Hyun
Doo, Jeon Gang
Jung, Ah Ra
Lee, Young Chan
Eun, Young-Gyu
description Intraoral removal of submandibular sialoliths is a surgical technique for the treatment of sialolithiasis and is reported to have excellent outcomes. The aim of this study was to determine the risk factors leading to complications of this procedure. The medical records of 200 patients who had undergone intraoral removal of sialoliths from January 2006 through June 2015 were retrospectively reviewed. A telephone survey was used to check postoperative symptoms. Dry mouth, wound infection, lingual nerve dysfunction, and recurrence were considered complications. Computed tomograms of the neck were reviewed for location, shape, number, and size of the stone. Forty-four patients reported a complication. The incidence of complications was significantly higher in patients with stones in the proximal region of the salivary duct (proximal group) than in those with middle or distally located stones (middle/distal group; P 
doi_str_mv 10.1016/j.joms.2017.09.012
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The aim of this study was to determine the risk factors leading to complications of this procedure. The medical records of 200 patients who had undergone intraoral removal of sialoliths from January 2006 through June 2015 were retrospectively reviewed. A telephone survey was used to check postoperative symptoms. Dry mouth, wound infection, lingual nerve dysfunction, and recurrence were considered complications. Computed tomograms of the neck were reviewed for location, shape, number, and size of the stone. Forty-four patients reported a complication. The incidence of complications was significantly higher in patients with stones in the proximal region of the salivary duct (proximal group) than in those with middle or distally located stones (middle/distal group; P &lt; .05). The average stone size was larger in the proximal group; the operation time and length of admission also were longer in the proximal group, with a statistically significant difference (P &lt; .05). Complaints of lingual nerve dysfunction were significantly higher in the proximal group than in the middle/distal group (P &lt; .05). Patients with proximally located stones had more complications, especially lingual nerve dysfunction, than those with middle or distally located stones. The former group also required a longer operation time and hospital stay.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/j.joms.2017.09.012</identifier><identifier>PMID: 29035699</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Dentistry</subject><ispartof>Journal of oral and maxillofacial surgery, 2018-04, Vol.76 (4), p.793-798</ispartof><rights>2017 American Association of Oral and Maxillofacial Surgeons</rights><rights>Copyright © 2017 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. 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title Risk Factors for Complications of Intraoral Removal of Submandibular Sialoliths
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