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Carbonnel E, Le Roux MK, Chossegros C, Scemama U, Graillon N. Tips & tricks for transoral approach for submandibular lithiasis (TASL). JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2020; 121:736-739. [DOI: 10.1016/j.jormas.2020.04.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Accepted: 04/06/2020] [Indexed: 11/25/2022]
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Galli P, Ceva A, Foletti JM, Iline N, Giorgi R, Chossegros C, Graillon N. Salivary Gland Lithiasis Recurrence After Minimally-Invasive Surgery: Incidence, Risk Factors and Prevention. Laryngoscope 2020; 131:794-799. [PMID: 32786079 DOI: 10.1002/lary.28991] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 06/07/2020] [Accepted: 07/14/2020] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the recurrence rate of lithiasis following minimally invasive surgery to identify risk factors and mechanisms for recurrence of salivary gland lithiasis. STUDY DESIGN Retrospective case series. METHODS A retrospective study was conducted including all patients treated for salivary gland lithiasis by minimally invasive surgery, such as sialendoscopy, intracorporeal lithotripsy, extracorporeal lithotripsy, transoral approach, and combined approach in our Department. We analyzed the recurrence rate of salivary lithiasis, their topography and timeline. RESULT Three hundred four patients were included in this study, the mean age was 49 years (range 12-90 years), and the mean duration of follow-up was 19.8 months (range 0-66 months). Fifteen patients (5%) presented secondary lithiasis. In all but one case, recurrences involved the same gland as primary lithiasis, and most frequently the submandibular gland. Recurrences occurred from 3 to 46 months postoperatively. Fourteen patients, who presented recurrence, had been initially treated by transoral approach. Recurrent lithiasis were treated by transoral approach or submandibulectomy. CONCLUSION Salivary gland lithiasis recurrence was rare after minimally invasive salivary gland surgery. This study reinforced the concept that salivary gland lithiasis should be considered as a duct pathology. LEVEL OF EVIDENCE 4 Laryngoscope, 131:794-799, 2021.
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Affiliation(s)
- Philippe Galli
- Department of Maxillofacial Surgery and Stomatology, APHM, Conception university hospital, Marseille, France
| | - Antoine Ceva
- Department of Maxillofacial Surgery and Stomatology, APHM, Conception university hospital, Marseille, France
| | - Jean-Marc Foletti
- Department of Maxillofacial Surgery and Stomatology, APHM, Conception university hospital, Marseille, France.,IFSTTAR, Laboratory of Applied Biomechanics, Aix Marseille University, Marseille, France
| | - Nicolas Iline
- BioSTIC, Biostatistics and Information and Communication Technologies, APHM, Timone university hospital, Marseille, France
| | - Roch Giorgi
- BioSTIC, Biostatistics and Information and Communication Technologies, APHM, Timone university hospital, Marseille, France.,Economic, Social and Health Sciences. & Medical Information Processing, SESSTIM, INSERM, APHM, Timone university Hospital, Marseille, France
| | - Cyrille Chossegros
- Department of Maxillofacial Surgery and Stomatology, APHM, Conception university hospital, Marseille, France.,CNRS, LPL, Aix Marseille University, Aix-en-Provence, France
| | - Nicolas Graillon
- Department of Maxillofacial Surgery and Stomatology, APHM, Conception university hospital, Marseille, France.,IFSTTAR, Laboratory of Applied Biomechanics, Aix Marseille University, Marseille, France
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Duong LT, Kakiche T, Ferré F, Nawrocki L, Bouattour A. Management of anterior submandibular sialolithiasis. JOURNAL OF ORAL MEDICINE AND ORAL SURGERY 2019. [DOI: 10.1051/mbcb/2018039] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Introduction: Sialolithiasis is defined by the presence of a calculus within the salivary gland or its excretory system. It primarily affects the submandibular gland at a frequency of 80%. Involving many factors, the exact aetiology and pathogenesis of salivary calculi remain to be discussed. Body: The purpose of this article is to expose the different aspects of the pathology. Aetiological factors, the diagnostic approach which requires the use of imaging tests as well as the medical and surgical management of anterior submandibular sialolithiasis, will be described. A decision tree regarding the type of management and a table summarizing the main differential diagnoses will be proposed. Conclusion: Submandibular sialolithiases are a common salivary gland disorder. The treatment of sialolithiasis must be early and remains mainly surgical. The level of cooperation as well as the patient's medical and surgical history should guide the management of this type of disorder of the salivary system.
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Foletti JM, Graillon N, Avignon S, Guyot L, Chossegros C. Salivary Calculi Removal by Minimally Invasive Techniques: A Decision Tree Based on the Diameter of the Calculi and Their Position in the Excretory Duct. J Oral Maxillofac Surg 2018; 76:112-118. [DOI: 10.1016/j.joms.2017.06.009] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 06/06/2017] [Accepted: 06/06/2017] [Indexed: 10/19/2022]
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Bignet C, Carvalho J, Lemaire E, Charpiot A. Acute submaxillitis: Etiological data and etiological management. Eur Ann Otorhinolaryngol Head Neck Dis 2017; 134:315-319. [PMID: 28359731 DOI: 10.1016/j.anorl.2017.02.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES The objective of the present study was to test the hypothesis that acute submaxillitis involves salivary duct obstruction. Obstacle characteristics and treatment were analyzed. MATERIAL AND METHODS Patients presenting with an episode of acute submaxillitis between 2009 and 2015 were retrospectively included. All underwent salivary duct imaging and/or sialendoscopy, with pathologic examination if the salivary gland was removed for etiologic diagnosis. For etiological treatment, if the causal lesion could not be treated by isolated sialendoscopy, surgery used a direct approach assisted by sialendoscope. In case of failure of these procedures, submaxillectomy was indicated. RESULTS Twenty-nine patients were included, 28 of whom showed salivary duct abnormality. At least 1 calculus was found in 27 patients; calculi were usually single (n=20), situated in the mid-third (n=21), and large (mean 7.7mm). Ten patients showed stenosis, associated with salivary calculus in 9 cases. Twenty-five patients with salivary duct obstruction underwent sialendoscopy. Isolated sialendoscopy was used in 5 cases, and a combined approach in 13 cases. CONCLUSION An episode of submaxillitis requires salivary duct exploration by sialendoscopy, to enable early treatment given the prevalence of associated calculi and high success rate of conservative management by sialendoscopy.
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Affiliation(s)
- C Bignet
- Service d'ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg cedex, France.
| | - J Carvalho
- Service d'ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg cedex, France
| | - E Lemaire
- Service d'ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg cedex, France
| | - A Charpiot
- Service d'ORL et de chirurgie cervico-faciale, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67098 Strasbourg cedex, France
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Gerni M, Foletti J, Collet C, Chossegros C. Evaluation of the prevalence of residual sialolith fragments after transoral approach of Wharton’s duct. J Craniomaxillofac Surg 2017; 45:167-170. [DOI: 10.1016/j.jcms.2016.04.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Revised: 03/09/2016] [Accepted: 04/07/2016] [Indexed: 11/29/2022] Open
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Foletti JM, Chossegros C, Salles F, Guyot L. Transoral approach for Stensen's duct lithiasis. Laryngoscope 2011; 121:1893-5. [DOI: 10.1002/lary.21792] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2010] [Accepted: 02/02/2011] [Indexed: 11/08/2022]
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