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Oral and Maxillofacial Surgery

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01-06-2020 | Sialendoscopy | Review Article

Success rate and complications of sialendoscopy and sialolithotripsy in patients with parotid sialolithiasis: a systematic review

Authors: Maarten Galdermans, Bert Gemels

Published in: Oral and Maxillofacial Surgery | Issue 2/2020

Abstract

Purpose

To assess the success rate and complications of sialendoscopy and sialolithotripsy for parotid sialolithiasis.

Materials and methods

A total of 228 articles were identified by the electronic database search regarding the topics sialendoscopy and sialolithotripsy. Following independent then joint review of titles and abstracts, 109 articles were selected for the full review. Thirteen of these were chosen for data extraction from which 1285 patients with parotid salivary stones were identified. Extracted data included number of patients, age, gender, location, management, and outcomes.

Results

All articles combined, 1285 patients with parotid salivary stones were included with a successful treatment in 1139 patients. The success rated ranged from 71.4 to 100% with a mean of 88.7%. Both partial as complete success was achieved. Although minor complications were frequent, no major complications occurred.

Conclusions

Sialendoscopy and sialolithotripsy are best suited as first choice treatment—if conservative therapy failed—for the management of parotid gland sialolithiasis. It is a valuable and feasible treatment option with no major complications. Selection of cases will ensure the best prognosis. Although there is no indefinite stone size, the smaller the calculus, the greater the probability of a symptom-free patient.

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Title: Success rate and complications of sialendoscopy and sialolithotripsy in patients with parotid sialolithiasis: a systematic review
Authors: Maarten Galdermans
Bert Gemels
Publication date: 01-06-2020
Publisher: Springer Berlin Heidelberg
Keywords: Sialendoscopy
Sialolithiasis
Sialolithiasis
Published in: Oral and Maxillofacial Surgery / Issue 2/2020
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-020-00834-x

At a glance: The STEP trials

Springer Medicine

Success rate and complications of sialendoscopy and sialolithotripsy in patients with parotid sialolithiasis: a systematic review

Abstract

Purpose

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusions

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