Transoral removal of hiloparenchymal submandibular calculi: a long-term clinical experience
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Pasquale Capaccio · Ignazio Alessandro Clemente · Mark McGurk · Anna Bossi · Lorenzo Pignataro
- چاپ و سال / کشور: 2011
Description
Traditional management of hiloparenchymal submandibular calculi is based on sialadenectomy. Recently, diVerent minimally invasive and conservative techniques have been developed for the treatment of the submandibular calculi. We aimed to investigate the eVectiveness of transoral surgical removal of large hiloparenchymal calculi by monitoring the trend for recurrence with clinical and ultrasonographic follow-up. A consecutive series of 84 patients with large (>7 mm) hilar or hiloparenchymal submandibular calculi underwent the transoral surgical removal under general anaesthesia. A video-assisted endoscopic procedure was performed in eight patients. All the patients underwent diagnostic ultrasonography and colour Doppler ultrasonography and clinical evaluation to deWne the exact location (hilar vs. parenchymal) and the diameter of the stone. The surgical procedure was successful in all but one of the patients. Stone recurrence was observed in 16 patients but obstructive symptoms were observed in only 12 patients during a median follow-up time of 52 months. The risk for recurrence was higher in patients who previously underwent extracorporeal shockwave lithotripsy. Conservative transoral removal of large hiloparenchymal submandibular calculi is a safe and eVective surgical procedure. Future studies with longer followup will conWrm the risk for recurrence of calculi
Eur Arch Otorhinolaryngol (2011) 268:1081–1086, Received: 31 August 2010 / Accepted: 20 January 2011 / Published online: 5 February 2011 © Springer-Verlag 2011
