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Long-term results of combined approach in parotid sialolithiasis

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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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Authors and Affiliations

  1. Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece

    I. Konstantinidis, A. Chatziavramidis & J. Constantinidis

  2. 3rd Nuclear Medicine Department, Papageorgiou Hospital Aristotle University, Thessaloniki, Greece

    I. Iakovou

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  1. I. Konstantinidis
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  2. A. Chatziavramidis
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  3. I. Iakovou
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  4. J. Constantinidis
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Correspondence to I. Konstantinidis.

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Konstantinidis, I., Chatziavramidis, A., Iakovou, I. et al. Long-term results of combined approach in parotid sialolithiasis. Eur Arch Otorhinolaryngol 272, 3533–3538 (2015). https://doi.org/10.1007/s00405-014-3391-x

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  • DOI: https://doi.org/10.1007/s00405-014-3391-x

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