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European Archives of Oto-Rhino-Laryngology

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01-11-2015 | Head and Neck

Long-term results of combined approach in parotid sialolithiasis

Authors: I. Konstantinidis, A. Chatziavramidis, I. Iakovou, J. Constantinidis

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2015

Abstract

Combined sialendoscopic and transcutaneous approach in parotid sialolithiasis is a surgical option for large and impacted stones. The aim of this study is to assess the long-term results regarding postoperative stenosis, recurrent swellings and gland function. Prospective study in a tertiary referral center of patients with parotid sialolithiasis requiring combined approach. A total of 12 patients have been treated within a period of 3 years. Intraductal stents were placed in 9 of 12 cases. Scintigraphic evaluation of salivary glands and follow-up sialendoscopy performed 1 year postoperatively. In total, fourteen stones (two stones in two cases) were successfully removed along with two coexisted inflammatory polyps. Postoperative endoscopic evaluation revealed mild stenosis in 7 out of 12 cases without clinical significance as no recurrent swellings were reported. Scintigraphy showed normal gland function in 11 cases and mild hypofunction in 1 case with long-standing history of sialolithiasis. All patients were free of symptoms within the follow-up period of time (median follow-up 15.5 months). Combined approach is a safe, gland preserving and efficacious procedure in long term. The stenosis in the area of ductal surgical opening when present does not seem to be of clinical value.

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Title: Long-term results of combined approach in parotid sialolithiasis
Authors: I. Konstantinidis
A. Chatziavramidis
I. Iakovou
J. Constantinidis
Publication date: 01-11-2015
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 11/2015
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-014-3391-x

At a glance: The STEP trials

Springer Medicine

Long-term results of combined approach in parotid sialolithiasis

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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