Galdermans Maarten, Gemels Bert
Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.
Department of Oral and Maxillofacial Surgery, Rijnstate Hospital Arnhem, Arnhem, Netherlands.
Oral Maxillofac Surg. 2020 Jun;24(2):145-150. doi: 10.1007/s10006-020-00834-x.
To assess the success rate and complications of sialendoscopy and sialolithotripsy for parotid sialolithiasis.
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.
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.
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.
评估唾液腺内镜检查及涎石粉碎术治疗腮腺涎石病的成功率及并发症。
通过电子数据库检索，共识别出228篇关于唾液腺内镜检查及涎石粉碎术主题的文章。在独立审查标题和摘要后进行联合审查，选择109篇文章进行全文审查。其中13篇文章被选作数据提取，从中识别出1285例腮腺涎石患者。提取的数据包括患者数量、年龄、性别、结石位置、治疗方法及治疗结果。
所有文章汇总后，纳入1285例腮腺涎石患者，其中1139例治疗成功。成功率在71.4%至100%之间，平均为88.7%。部分成功和完全成功均有实现。虽然轻微并发症较为常见，但未发生严重并发症。
如果保守治疗失败，唾液腺内镜检查及涎石粉碎术最适合作为腮腺涎石病的首选治疗方法。这是一种有价值且可行的治疗选择，无严重并发症。病例选择将确保最佳预后。虽然结石大小并无明确界定，但结石越小，患者无症状的可能性越大。
