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Data and Picture Interpretation Stations: Cases 1–45
Published in Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar, ENT OSCEs, 2023
Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar
Sialolithiasis is defined as the formation of stones in the major salivary glands (submandibular, parotid, sublingual glands). It is a common cause of salivary gland swelling. Obstructed salivary glands can become inflamed and infected and occasionally abscesses can form, the first line investigation for patients presenting with suspected salivary gland stone is an ultrasound of the gland and neck which can also exclude salivary gland tumours. Plain films were the initial choice in the past and are still used in some settings. If available, sialography may also be used as this can be both diagnostic and therapeutic (in the case of small stones). If medical treatment (massage/silaogogues/NSAIDs and antibiotics as required) is not successful, then sialoendoscopy can be used for stones up to 4mm. Surgical excision of the gland is considered the treatment of last resort but is definitive.
Outcome of Minimally Invasive Management of Salivary Calculi in 4,691 Patients
Published in Niall MH McLeod, Peter A Brennan, 50 Landmark Papers every Oral & Maxillofacial Surgeon Should Know, 2020
Katherine S George, Rafal Niziol
Since the publication of this paper, there have been numerous technical and technological advances in minimally invasive treatment for sialolithiasis. These include advances in the design of baskets, improvement in sialendoscopes, the use of intracorporeal lithotripsy and robotics.
Gastrointestinal tract and salivary glands
Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020
A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha
Sialolithiasis has been found to be the most common cause of salivary gland disease, with a prevalence of 1.2% in the UK population in 2005.Chronic recurrent sialadenitis is the result of an ascending infection of the duct that causes changes in the ductal architecture of the gland and presents as a ductal stricture and dilation. Radio-opaque calculi may be evident within the glands but are more frequently found in the submandibular gland. In contrast with the submandibular gland, only 10% of parotid calculi are radio-opaque.
A stone in the lacrimal gland: a case report and literature review
Published in Orbit, 2020
Othmaliza Binti Othman, Yasuhiro Takahashi, Ma. Regina Paula Valencia, Hirohiko Kakizaki
Sialolithiasis has some clinical similarities to lacrimal gland dacryolithiasis. Sialolithiasis is most common in patients in the fourth and fifth decade of life.16,17 The male-to-female ratio ranges from 2.5:1 to 1.2:1, although recent studies showed equal distribution of salivary stones between men and women.16,17 Stasis or a decreased salivary flow is a proposed mechanism of development of sialolith, while microorganisms do not seem to play a significant role in the initiation of salivary stones.16
Ultrastructural analysis of the submandibular sialoliths: Raman spectroscopy and electron back-scatter studies
Published in Ultrastructural Pathology, 2020
Dmitry Tretiakow, Andrzej Skorek, Jacek Ryl, Joanna Wysocka, Kazimierz Darowicki
Sialolithiasis is one of the causes of salivary gland inflammation that is characterized by the formation of single or multiple deposits (sialoliths) in the salivary ducts or salivary glands. The resulting salivary duct obstruction inhibits the saliva flow, which in turn leads to inflammation of the salivary gland. The most common symptoms of sialolithiasis are of salivary gland swelling and pain (intensified during a meal) and fever.1–4