Kim R H, Strimling A M, Grosch T, Feider D E, Veranth J J
Radiology Department, St. Luke's Hospital, Racine, Wis, USA.
Arch Otolaryngol Head Neck Surg. 1996 Sep;122(9):974-6. doi: 10.1001/archotol.1996.01890210048011.
To describe the nonsurgical removal of sialoliths and treatment of salivary duct strictures.
Case series.
Two 200-bed general community hospitals.
Twelve consecutive patients from April 1985 to November 1994-8 with calculi, 3 with salivary duct strictures, and 1 with calculi and stricture.
Successful nonoperative removal of calculi in 7 of 9 patients. All 4 sialodochoplasties were successful. All 10 patients with successful procedures had no recurrent symptoms. Seven patients have been symptom-free for 10 months to 10 years. Communication with 3 patients has been impossible recently, although these patients were symptom-free for at least 3 years.
These methods of nonsurgical sialolith removal and sialodocoplasty were highly successful and should be used as the initial therapies for patients with these conditions.