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Shih Han Hung - One of the best experts on this subject based on the ideXlab platform.
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a population based study on the association between chronic periodontitis and Sialolithiasis
Laryngoscope, 2016Co-Authors: Shih Han Hung, Herng Ching Lin, Hsin Chien Lee, Hung Meng Huang, Li Ting KaoAbstract:Objectives/Hypothesis Whereas the impression that poor oral hygiene is linked to the development of Sialolithiasis may be widely accepted, very few studies provide evidence to support this. This study therefore aimed to evaluate the association between chronic periodontitis (CP) and the subsequent development of salivary gland stone based on a nationwide coverage database. Study Design A case-control study. Methods A total of 987 subjects with Sialolithiasis were included as cases. In a ratio of five controls per case, 4,935 controls matched in terms of sex and age group were selected. Conditional logistic regression analysis was performed to determine the possible association of Sialolithiasis with previously diagnosed CP. Results The prevalence of prior CP between cases and controls demonstrated that 1,831 (30.9%) out of the 5,922 sampled subjects had prior CP. By Chi-square test, there was a significant difference in the prevalence of prior CP between the cases and controls (36.8% vs. 29.7%, P < 0.001). By conditional logistic regression analysis, the odds ratio (OR) of prior CP for cases was 1.37 (95% confidence interval [CI], 1.19–1.56) compared to the controls after adjusting for geographic location and tobacco use. Further analyzing the relationship between Sialolithiasis and prior CP according to sex, Sialolithiasis was associated with prior CP regardless of sex. The adjusted OR of prior CP for the cases was 1.34 (95% CI, 1.10–1.64) and 1.41 (95% CI, 1.15–1.73) for males and females, respectively, when compared to controls. Conclusion This study demonstrates an association between CP and Sialolithiasis. Level of Evidence 3b. Laryngoscope, 2015
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association of Sialolithiasis with cholelithiasis a population based study
Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 2016Co-Authors: Shih Han Hung, Herng Ching Lin, Shiu Dong ChungAbstract:Background The purpose of this study was to evaluate the association between cholelithiasis and developing Sialolithiasis using a population-based coverage database. Methods The data for this study were sourced from the Taiwan Longitudinal Health Insurance Database. We included 745 subjects with Sialolithiasis as cases and 3725 sex-matched and age-matched subjects without Sialolithiasis as controls. Results Chi-square test revealed a significant difference in the prevalence of prior cholelithiasis between the cases and controls (8.6% vs 4.1%; p < .001). Furthermore, conditional logistic regression analysis indicated that the odds ratio (OR) of prior cholelithiasis for the cases was 2.19 (95% confidence interval [CI] = 1.62–2.98) when compared with the controls after adjusting for monthly income, geographic location, urbanization level, and tobacco use disorder. The adjusted OR of prior cholelithiasis for cases was 2.20 (95% CI = 1.46–3.33) and 2.15 (95% CI = 1.38–3.42) than controls for men and women, respectively. Conclusion This study demonstrates an association between Sialolithiasis and cholelithiasis. © 2015 Wiley Periodicals, Inc. Head Neck 38: 560–563, 2016
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Sialolithiasis is associated with nephrolithiasis: a case-control study.
Acta oto-laryngologica, 2016Co-Authors: Shih Han Hung, Herng Ching Lin, Cha Ze Lee, Hsin Chien Lee, Shiu Dong ChungAbstract:AbstractConclusions This study demonstrates an association between Sialolithiasis and nephrolithiasis. The results call for more awareness of this association among physicians and patients with nephrolithiasis. Objective Very few empirical studies have been conducted to explore the potential association between Sialolithiasis and nephrolithiasis. As such, the association between Sialolithiasis and nephrolithiasis still remains unclear. This study aimed to explore the possible association between Sialolithiasis and nephrolithiasis using a population-based dataset. Methods Using data from the Taiwan Longitudinal Health Insurance Database 2005, this case-control study identified 966 patients with Sialolithiasis as cases and 2898 sex- and age-matched subjects without Sialolithiasis as controls. Conditional logistic regressions were conducted to examine the association of Sialolithiasis with previously diagnosed nephrolithiasis. Results Out of 3864 sampled patients, 165 (4.27%) had prior nephrolithiasis. Using...
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A population-based study on the association between chronic periodontitis and Sialolithiasis
The Laryngoscope, 2016Co-Authors: Shih Han Hung, Herng Ching Lin, Hsin Chien Lee, Hung Meng Huang, Li Ting KaoAbstract:Objectives/Hypothesis Whereas the impression that poor oral hygiene is linked to the development of Sialolithiasis may be widely accepted, very few studies provide evidence to support this. This study therefore aimed to evaluate the association between chronic periodontitis (CP) and the subsequent development of salivary gland stone based on a nationwide coverage database. Study Design A case-control study. Methods A total of 987 subjects with Sialolithiasis were included as cases. In a ratio of five controls per case, 4,935 controls matched in terms of sex and age group were selected. Conditional logistic regression analysis was performed to determine the possible association of Sialolithiasis with previously diagnosed CP. Results The prevalence of prior CP between cases and controls demonstrated that 1,831 (30.9%) out of the 5,922 sampled subjects had prior CP. By Chi-square test, there was a significant difference in the prevalence of prior CP between the cases and controls (36.8% vs. 29.7%, P
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Association of Sialolithiasis with cholelithiasis: A population-based study.
Head & neck, 2015Co-Authors: Shih Han Hung, Herng Ching Lin, Shiu Dong ChungAbstract:Background The purpose of this study was to evaluate the association between cholelithiasis and developing Sialolithiasis using a population-based coverage database. Methods The data for this study were sourced from the Taiwan Longitudinal Health Insurance Database. We included 745 subjects with Sialolithiasis as cases and 3725 sex-matched and age-matched subjects without Sialolithiasis as controls. Results Chi-square test revealed a significant difference in the prevalence of prior cholelithiasis between the cases and controls (8.6% vs 4.1%; p
Shiu Dong Chung - One of the best experts on this subject based on the ideXlab platform.
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association of Sialolithiasis with cholelithiasis a population based study
Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 2016Co-Authors: Shih Han Hung, Herng Ching Lin, Shiu Dong ChungAbstract:Background The purpose of this study was to evaluate the association between cholelithiasis and developing Sialolithiasis using a population-based coverage database. Methods The data for this study were sourced from the Taiwan Longitudinal Health Insurance Database. We included 745 subjects with Sialolithiasis as cases and 3725 sex-matched and age-matched subjects without Sialolithiasis as controls. Results Chi-square test revealed a significant difference in the prevalence of prior cholelithiasis between the cases and controls (8.6% vs 4.1%; p < .001). Furthermore, conditional logistic regression analysis indicated that the odds ratio (OR) of prior cholelithiasis for the cases was 2.19 (95% confidence interval [CI] = 1.62–2.98) when compared with the controls after adjusting for monthly income, geographic location, urbanization level, and tobacco use disorder. The adjusted OR of prior cholelithiasis for cases was 2.20 (95% CI = 1.46–3.33) and 2.15 (95% CI = 1.38–3.42) than controls for men and women, respectively. Conclusion This study demonstrates an association between Sialolithiasis and cholelithiasis. © 2015 Wiley Periodicals, Inc. Head Neck 38: 560–563, 2016
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Sialolithiasis is associated with nephrolithiasis: a case-control study.
Acta oto-laryngologica, 2016Co-Authors: Shih Han Hung, Herng Ching Lin, Cha Ze Lee, Hsin Chien Lee, Shiu Dong ChungAbstract:AbstractConclusions This study demonstrates an association between Sialolithiasis and nephrolithiasis. The results call for more awareness of this association among physicians and patients with nephrolithiasis. Objective Very few empirical studies have been conducted to explore the potential association between Sialolithiasis and nephrolithiasis. As such, the association between Sialolithiasis and nephrolithiasis still remains unclear. This study aimed to explore the possible association between Sialolithiasis and nephrolithiasis using a population-based dataset. Methods Using data from the Taiwan Longitudinal Health Insurance Database 2005, this case-control study identified 966 patients with Sialolithiasis as cases and 2898 sex- and age-matched subjects without Sialolithiasis as controls. Conditional logistic regressions were conducted to examine the association of Sialolithiasis with previously diagnosed nephrolithiasis. Results Out of 3864 sampled patients, 165 (4.27%) had prior nephrolithiasis. Using...
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Association of Sialolithiasis with cholelithiasis: A population-based study.
Head & neck, 2015Co-Authors: Shih Han Hung, Herng Ching Lin, Shiu Dong ChungAbstract:Background The purpose of this study was to evaluate the association between cholelithiasis and developing Sialolithiasis using a population-based coverage database. Methods The data for this study were sourced from the Taiwan Longitudinal Health Insurance Database. We included 745 subjects with Sialolithiasis as cases and 3725 sex-matched and age-matched subjects without Sialolithiasis as controls. Results Chi-square test revealed a significant difference in the prevalence of prior cholelithiasis between the cases and controls (8.6% vs 4.1%; p
Michael Koch - One of the best experts on this subject based on the ideXlab platform.
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Simultaneous Application of Ultrasound and Sialendoscopy and its Value in the Management of Sialolithiasis.
Ultraschall in der Medizin (Stuttgart Germany : 1980), 2020Co-Authors: Michael Koch, Mirco Schapher, Konstantinos Mantsopoulos, Miguel Goncalves, Heinrich IroAbstract:OBJECTIVE Ultrasound (US) and sialendoscopy (SE) are routinely used in patients presenting with Sialolithiasis in the submandibular (SMG) and parotid gland (PG). The objective was to assess the value of the simultaneous application of US and SE in the management of Sialolithiasis. STUDY DESIGN Retrospective study. SETTING Tertiary referral center for salivary gland diseases. PARTICIPANTS Patients in whom US and SE as single investigation tools were neither conclusive nor useful in the management of Sialolithiasis were investigated using both methods simultaneously (simUS + SE). MAIN OUTCOME MEASURES Establishment of the final diagnosis and/or contribution to the planning/performing of treatment in Sialolithiasis. RESULTS 74 patients were examined by simUS + SE (58.1 % SMG and 41.9 % PG). In all patients (unclear) hyperechoic reflexes were assessed and/or localized by SE-controlled US navigation. 68.9 % of the patients were investigated for diagnostic or differential-diagnostic reasons including distinguishing extraductal from intraductal calcifications and/or to exclude residual stones after therapy. In 52.7 % simUS + SE was used to plan and/or perform further treatment, in 20.3 % to enable performing a combined approach (all PG) and in 29.7 % to evaluate and plan the most adequate therapy (mainly intraductal vs. extracorporeal shock wave lithotripsy, 68.2 % of these SMG). In two cases SE-controlled and US-guided stone extraction was performed. CONCLUSION SimUS + SE is an innovative approach which proved to be very useful in managing Sialolithiasis. It added valuable information regarding the establishment of a diagnosis or differential diagnosis, planning and performing the most adequate treatment, intraoperative control of therapy and postoperative follow-up.
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interrater reliability of ultrasound in the diagnosis of Sialolithiasis
Ultraschall in Der Medizin, 2019Co-Authors: Miguel Goncalves, Mirco Schapher, Konstantinos Mantsopoulos, J Zenk, A Bozzato, Julian Kuenzel, P Zengel, Michael KochAbstract:Purpose The aim of this study was to assess the interrater reliability of ultrasound for diagnosing Sialolithiasis. Materials and Methods A total of 100 consecutive patients with signs of obstructive sialadenopathy were evaluated. The patients all underwent ultrasound examinations in a standardized manner conducted by one specialist with extensive experience in the management of salivary gland disorders and proficiency in head and neck ultrasonography. The video recordings were sent to six colleagues with comparable experience without providing any further information about the patients’ medical history and physical examination. Results The overall agreement between the seven observers was substantial, with a κ of 0.765 for the 100 cases and a percentage agreement level of 88.29 ± 3.01 % (range: 83–94 %). The range of agreement on this video set for observer pairs varied from substantial to almost perfect agreement (0.663 to 0.878). Among the few false-negative findings (5.4 %), 71.8 % were due to distal Sialolithiasis. Two-thirds of the false-positive findings (3.7 %) were due to fibrotic stenosis. Conclusion The study confirmed the diagnostic value of ultrasound in Sialolithiasis and demonstrated a very high level of interrater agreement, even in the absence of additional clinical patient information, thus further underscoring the importance of ultrasound as the examination of first choice in Sialolithiasis.
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Interrater Reliability of Ultrasound in the Diagnosis of Sialolithiasis.
Ultraschall in der Medizin (Stuttgart Germany : 1980), 2019Co-Authors: Miguel Goncalves, Konstantinos Mantsopoulos, Heinrich Iro, Johannes Zenk, A Bozzato, Julian Kuenzel, P Zengel, Mirco Lothar Schapher, Michael KochAbstract:The aim of this study was to assess the interrater reliability of ultrasound for diagnosing Sialolithiasis. A total of 100 consecutive patients with signs of obstructive sialadenopathy were evaluated. The patients all underwent ultrasound examinations in a standardized manner conducted by one specialist with extensive experience in the management of salivary gland disorders and proficiency in head and neck ultrasonography. The video recordings were sent to six colleagues with comparable experience without providing any further information about the patients' medical history and physical examination. The overall agreement between the seven observers was substantial, with a κ of 0.765 for the 100 cases and a percentage agreement level of 88.29 ± 3.01 % (range: 83-94 %). The range of agreement on this video set for observer pairs varied from substantial to almost perfect agreement (0.663 to 0.878). Among the few false-negative findings (5.4 %), 71.8 % were due to distal Sialolithiasis. Two-thirds of the false-positive findings (3.7 %) were due to fibrotic stenosis. The study confirmed the diagnostic value of ultrasound in Sialolithiasis and demonstrated a very high level of interrater agreement, even in the absence of additional clinical patient information, thus further underscoring the importance of ultrasound as the examination of first choice in Sialolithiasis. © Georg Thieme Verlag KG Stuttgart · New York.
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multimodal treatment in difficult Sialolithiasis role of extracorporeal shock wave lithotripsy and intraductal pneumatic lithotripsy
Laryngoscope, 2018Co-Authors: Michael Koch, Mirco Schapher, Konstantinos Mantsopoulos, Miguel Goncalves, Felix Von Scotti, Heinrich IroAbstract:Objectives To assess results after treatment of difficult/complex Sialolithiasis with extracorporeal shock-wave lithotripsy (ESWL) and intraductal pneumatic lithotripsy (IPL). Study design Retrospective study in a tertiary referral center. Methods Altogether, 63 stones were diagnosed in 38 patients with difficult/complex Sialolithiasis. Forty-nine stones were treated with fragmentation using both ESWL and IPL. Stones accessible with the sialendoscope were treated primarily with IPL in multiple Sialolithiasis. Results Seventy-one ESWL procedures and 57 IPL were performed in our patients. Forty-nine stones were treated by 67 ESWL procedures and 52 IPL. ESWL converted sialoliths from sialendoscopically untreatable into sialendoscopically treatable cases in 94.7%; the treatment then was completed by a total of 52 IPL procedures. ESWL was performed before IPL (81.6%), in combination with IPL (7.9%) and after (10.5%). Complete fragmentation was achieved in 97.9%. Four stones each were treated with ESWL and IPL alone in multiple Sialolithiasis. Altogether, 53 stones were treated by 57 IPL procedures. Complete fragmentation was achieved in 98.1% of the 53 stones. ESWL and IPL were the dominant treatment modalities in 84.1% of all 63 stones treated. Of all 38 patients, 92.1% became stone-free and all became symptom-free. All the glands were preserved. Multiple stones were treated in 34.2% of the patients; of these, 92.3% became stone-free. Conclusion These results show that patients with difficult and complex Sialolithiasis can be treated with high success rates of > 90% using a multimodal, minimally invasive, and gland-preserving treatment approach. ESWL and IPL played a key role in this multimodal treatment regime in > 80% of stones. Level of evidence 4. Laryngoscope, 128:E332-E338, 2018.
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sialendoscopy in the diagnosis and treatment of Sialolithiasis a study on more than 1000 patients
Otolaryngology-Head and Neck Surgery, 2012Co-Authors: Johannes Zenk, Michael Koch, Nils Klintworth, Barbara Konig, Katharina Konz, Boyd M Gillespie, Heinrich IroAbstract:ObjectiveSialendoscopy and other gland-preserving techniques such as extracorporeal shockwave lithotripsy (ESWL), transoral stone removal, and combinations of these methods have fundamentally changed the therapeutic approach to salivary stones. Since 2003, all patients presenting with Sialolithiasis have been diagnosed and treated with the same algorithm and routine salivary gland endoscopy (SGE).Study DesignCase series with chart review of patients with Sialolithiasis treated between 2003 and 2008 using an algorithm for gland preservation.SettingTertiary referral academic medical center.Subjects and MethodsA total of 1154 patients with suspected Sialolithiasis were identified and reviewed. Factors analyzed included stone location, size, surgical method, rate of stone clearance, complications, and rate of short- and long-term symptom resolution. Successful treatment was defined as freedom from symptoms at follow-up.ResultsDiagnostic sialendoscopy confirmed 221 parotid stones and 812 submandibular stones, ...
Li Ting Kao - One of the best experts on this subject based on the ideXlab platform.
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a population based study on the association between chronic periodontitis and Sialolithiasis
Laryngoscope, 2016Co-Authors: Shih Han Hung, Herng Ching Lin, Hsin Chien Lee, Hung Meng Huang, Li Ting KaoAbstract:Objectives/Hypothesis Whereas the impression that poor oral hygiene is linked to the development of Sialolithiasis may be widely accepted, very few studies provide evidence to support this. This study therefore aimed to evaluate the association between chronic periodontitis (CP) and the subsequent development of salivary gland stone based on a nationwide coverage database. Study Design A case-control study. Methods A total of 987 subjects with Sialolithiasis were included as cases. In a ratio of five controls per case, 4,935 controls matched in terms of sex and age group were selected. Conditional logistic regression analysis was performed to determine the possible association of Sialolithiasis with previously diagnosed CP. Results The prevalence of prior CP between cases and controls demonstrated that 1,831 (30.9%) out of the 5,922 sampled subjects had prior CP. By Chi-square test, there was a significant difference in the prevalence of prior CP between the cases and controls (36.8% vs. 29.7%, P < 0.001). By conditional logistic regression analysis, the odds ratio (OR) of prior CP for cases was 1.37 (95% confidence interval [CI], 1.19–1.56) compared to the controls after adjusting for geographic location and tobacco use. Further analyzing the relationship between Sialolithiasis and prior CP according to sex, Sialolithiasis was associated with prior CP regardless of sex. The adjusted OR of prior CP for the cases was 1.34 (95% CI, 1.10–1.64) and 1.41 (95% CI, 1.15–1.73) for males and females, respectively, when compared to controls. Conclusion This study demonstrates an association between CP and Sialolithiasis. Level of Evidence 3b. Laryngoscope, 2015
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A population-based study on the association between chronic periodontitis and Sialolithiasis
The Laryngoscope, 2016Co-Authors: Shih Han Hung, Herng Ching Lin, Hsin Chien Lee, Hung Meng Huang, Li Ting KaoAbstract:Objectives/Hypothesis Whereas the impression that poor oral hygiene is linked to the development of Sialolithiasis may be widely accepted, very few studies provide evidence to support this. This study therefore aimed to evaluate the association between chronic periodontitis (CP) and the subsequent development of salivary gland stone based on a nationwide coverage database. Study Design A case-control study. Methods A total of 987 subjects with Sialolithiasis were included as cases. In a ratio of five controls per case, 4,935 controls matched in terms of sex and age group were selected. Conditional logistic regression analysis was performed to determine the possible association of Sialolithiasis with previously diagnosed CP. Results The prevalence of prior CP between cases and controls demonstrated that 1,831 (30.9%) out of the 5,922 sampled subjects had prior CP. By Chi-square test, there was a significant difference in the prevalence of prior CP between the cases and controls (36.8% vs. 29.7%, P
Heinrich Iro - One of the best experts on this subject based on the ideXlab platform.
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Simultaneous Application of Ultrasound and Sialendoscopy and its Value in the Management of Sialolithiasis.
Ultraschall in der Medizin (Stuttgart Germany : 1980), 2020Co-Authors: Michael Koch, Mirco Schapher, Konstantinos Mantsopoulos, Miguel Goncalves, Heinrich IroAbstract:OBJECTIVE Ultrasound (US) and sialendoscopy (SE) are routinely used in patients presenting with Sialolithiasis in the submandibular (SMG) and parotid gland (PG). The objective was to assess the value of the simultaneous application of US and SE in the management of Sialolithiasis. STUDY DESIGN Retrospective study. SETTING Tertiary referral center for salivary gland diseases. PARTICIPANTS Patients in whom US and SE as single investigation tools were neither conclusive nor useful in the management of Sialolithiasis were investigated using both methods simultaneously (simUS + SE). MAIN OUTCOME MEASURES Establishment of the final diagnosis and/or contribution to the planning/performing of treatment in Sialolithiasis. RESULTS 74 patients were examined by simUS + SE (58.1 % SMG and 41.9 % PG). In all patients (unclear) hyperechoic reflexes were assessed and/or localized by SE-controlled US navigation. 68.9 % of the patients were investigated for diagnostic or differential-diagnostic reasons including distinguishing extraductal from intraductal calcifications and/or to exclude residual stones after therapy. In 52.7 % simUS + SE was used to plan and/or perform further treatment, in 20.3 % to enable performing a combined approach (all PG) and in 29.7 % to evaluate and plan the most adequate therapy (mainly intraductal vs. extracorporeal shock wave lithotripsy, 68.2 % of these SMG). In two cases SE-controlled and US-guided stone extraction was performed. CONCLUSION SimUS + SE is an innovative approach which proved to be very useful in managing Sialolithiasis. It added valuable information regarding the establishment of a diagnosis or differential diagnosis, planning and performing the most adequate treatment, intraoperative control of therapy and postoperative follow-up.
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Interrater Reliability of Ultrasound in the Diagnosis of Sialolithiasis.
Ultraschall in der Medizin (Stuttgart Germany : 1980), 2019Co-Authors: Miguel Goncalves, Konstantinos Mantsopoulos, Heinrich Iro, Johannes Zenk, A Bozzato, Julian Kuenzel, P Zengel, Mirco Lothar Schapher, Michael KochAbstract:The aim of this study was to assess the interrater reliability of ultrasound for diagnosing Sialolithiasis. A total of 100 consecutive patients with signs of obstructive sialadenopathy were evaluated. The patients all underwent ultrasound examinations in a standardized manner conducted by one specialist with extensive experience in the management of salivary gland disorders and proficiency in head and neck ultrasonography. The video recordings were sent to six colleagues with comparable experience without providing any further information about the patients' medical history and physical examination. The overall agreement between the seven observers was substantial, with a κ of 0.765 for the 100 cases and a percentage agreement level of 88.29 ± 3.01 % (range: 83-94 %). The range of agreement on this video set for observer pairs varied from substantial to almost perfect agreement (0.663 to 0.878). Among the few false-negative findings (5.4 %), 71.8 % were due to distal Sialolithiasis. Two-thirds of the false-positive findings (3.7 %) were due to fibrotic stenosis. The study confirmed the diagnostic value of ultrasound in Sialolithiasis and demonstrated a very high level of interrater agreement, even in the absence of additional clinical patient information, thus further underscoring the importance of ultrasound as the examination of first choice in Sialolithiasis. © Georg Thieme Verlag KG Stuttgart · New York.
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multimodal treatment in difficult Sialolithiasis role of extracorporeal shock wave lithotripsy and intraductal pneumatic lithotripsy
Laryngoscope, 2018Co-Authors: Michael Koch, Mirco Schapher, Konstantinos Mantsopoulos, Miguel Goncalves, Felix Von Scotti, Heinrich IroAbstract:Objectives To assess results after treatment of difficult/complex Sialolithiasis with extracorporeal shock-wave lithotripsy (ESWL) and intraductal pneumatic lithotripsy (IPL). Study design Retrospective study in a tertiary referral center. Methods Altogether, 63 stones were diagnosed in 38 patients with difficult/complex Sialolithiasis. Forty-nine stones were treated with fragmentation using both ESWL and IPL. Stones accessible with the sialendoscope were treated primarily with IPL in multiple Sialolithiasis. Results Seventy-one ESWL procedures and 57 IPL were performed in our patients. Forty-nine stones were treated by 67 ESWL procedures and 52 IPL. ESWL converted sialoliths from sialendoscopically untreatable into sialendoscopically treatable cases in 94.7%; the treatment then was completed by a total of 52 IPL procedures. ESWL was performed before IPL (81.6%), in combination with IPL (7.9%) and after (10.5%). Complete fragmentation was achieved in 97.9%. Four stones each were treated with ESWL and IPL alone in multiple Sialolithiasis. Altogether, 53 stones were treated by 57 IPL procedures. Complete fragmentation was achieved in 98.1% of the 53 stones. ESWL and IPL were the dominant treatment modalities in 84.1% of all 63 stones treated. Of all 38 patients, 92.1% became stone-free and all became symptom-free. All the glands were preserved. Multiple stones were treated in 34.2% of the patients; of these, 92.3% became stone-free. Conclusion These results show that patients with difficult and complex Sialolithiasis can be treated with high success rates of > 90% using a multimodal, minimally invasive, and gland-preserving treatment approach. ESWL and IPL played a key role in this multimodal treatment regime in > 80% of stones. Level of evidence 4. Laryngoscope, 128:E332-E338, 2018.
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sialendoscopy in the diagnosis and treatment of Sialolithiasis a study on more than 1000 patients
Otolaryngology-Head and Neck Surgery, 2012Co-Authors: Johannes Zenk, Michael Koch, Nils Klintworth, Barbara Konig, Katharina Konz, Boyd M Gillespie, Heinrich IroAbstract:ObjectiveSialendoscopy and other gland-preserving techniques such as extracorporeal shockwave lithotripsy (ESWL), transoral stone removal, and combinations of these methods have fundamentally changed the therapeutic approach to salivary stones. Since 2003, all patients presenting with Sialolithiasis have been diagnosed and treated with the same algorithm and routine salivary gland endoscopy (SGE).Study DesignCase series with chart review of patients with Sialolithiasis treated between 2003 and 2008 using an algorithm for gland preservation.SettingTertiary referral academic medical center.Subjects and MethodsA total of 1154 patients with suspected Sialolithiasis were identified and reviewed. Factors analyzed included stone location, size, surgical method, rate of stone clearance, complications, and rate of short- and long-term symptom resolution. Successful treatment was defined as freedom from symptoms at follow-up.ResultsDiagnostic sialendoscopy confirmed 221 parotid stones and 812 submandibular stones, ...