Simultaneous Application of Ultrasound and Sialendoscopy and its Value in the Management of Sialolithiasis

Koch M, Schapher M, Mantsopoulos K, Goncalves M, Iro H (2020)

Publication Type: Journal article

Publication year: 2020

Journal

Ultraschall in der Medizin Georg Thieme Verlag

Abstract

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 na-vigation. 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.

Authors with CRIS profile

Michael Koch Lehrstuhl für Hals-, Nasen- und Ohrenheilkunde Mirco Schapher Department of Otorhinolaryngology – Head and Neck Surgery Konstantinos Mantsopoulos Department of Otorhinolaryngology – Head and Neck Surgery Miguel Goncalves Department of Otorhinolaryngology – Head and Neck Surgery Heinrich Iro Lehrstuhl für Hals-, Nasen- und Ohrenheilkunde

How to cite

APA:

Koch, M., Schapher, M., Mantsopoulos, K., Goncalves, M., & Iro, H. (2020). Simultaneous Application of Ultrasound and Sialendoscopy and its Value in the Management of Sialolithiasis. Ultraschall in der Medizin. https://doi.org/10.1055/a-1270-7174

MLA:

Koch, Michael, et al. "Simultaneous Application of Ultrasound and Sialendoscopy and its Value in the Management of Sialolithiasis." Ultraschall in der Medizin (2020).

BibTeX: Download