Sialolithiasis-Do Early Diagnosis and Removal Minimize Post-Operative Morbidity?

Medicina (Kaunas). 2020 Jul 2;56(7):332. doi: 10.3390/medicina56070332.

Abstract

Background and objectives: Sialolithiasis is an inflammation of a salivary gland due to obstruction of salivary flow by a sialolith. We aim to assess potential factors that may predict lower morbidity following endoscopically assisted per-oral sialolith removal. Materials and Methods: Retrospective cohort study. Retrospective review of 100 records of patients with sialolithiasis, following surgical sialolith removal. A single medical center (Department of oral and maxillofacial surgery-Rabin Medical Center, Beilinson & Hasharon-Israel) survey. Data were gleaned from the patient files based on a structured questionnaire. Factors that may predict morbidity were evaluated using linear regression equation. Results: 59 of the subjects were men and 41 were women. The mean age of the patients in the study was 50 ± 17.5 years. Sialolith volume and past antibiotic treatment were positively associated while age was negatively associated with hospitalization duration. Conclusion: Early sialolith diagnosis and removal may lower postoperative morbidity.

Keywords: morbidity; sialendoscopy; sialolith; sialolithiasis.

MeSH terms

  • Adult
  • Aged
  • Cohort Studies
  • Early Diagnosis
  • Endoscopy / methods
  • Female
  • Humans
  • Israel
  • Male
  • Middle Aged
  • Postoperative Complications / physiopathology
  • Postoperative Complications / prevention & control*
  • Retrospective Studies
  • Salivary Gland Calculi / complications
  • Salivary Gland Calculi / surgery*
  • Time Factors*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome