Experience in using a minimally invasive method for removing salivary gland duct calculus under sonography control

Abstract

Background. Removal of calculi in salivary stone disease is one of the urgent problems of maxillofacial surgery and surgical dentistry due to the complexity of the manipulation, the trauma of the technique and the frequent development of complications.

Aim. Improvement of the treatment results of patients with salivary stone disease by using our developed method of minimally invasive removal of calculi located in any part of the excretory duct of the submandibular and/or parotid salivary glands, under constant ultrasound visualization of the intervention.

Material and methods. The study included patients diagnosed with salivary stone disease (10 people: 9 male and 1 female aged 18–50 years, mean age 44.2±1.25 years). The methodology was as follows. An ultrasonic sensor was brought in from the side of the skin, and the location of the calculus in the gland duct was determined. Next, a needle with a diameter of 0.3 cm with a mandrin was inserted percutaneously through a puncture into the duct of the salivary gland to the distal surface of the calculus, and it was advanced with the help of a needle as far as possible towards the mouth of the excretory duct. Then the needle was removed, leaving a mandrel in the duct, with which the calculus was fixed in a new position. After bougienage of the excretory duct, Dormia’s basket was introduced into it, and the calculus was captured and removed. The manipulations were performed under constant ultrasound imaging.

Results. The use of the technique developed by us for minimally invasive removal of a calculus with a diameter of up to 5 mm, located in any part of the excretory duct of the submandibular and/or parotid salivary glands, under constant ultrasound visualization of the intervention course, made it possible to achieve a positive result in all 10 patients included in clinical observations.

Conclusion. The minimally invasive technique for removing calculi from the excretory ducts of the salivary glands under constant ultrasound imaging developed by us makes it possible to facilitate manipulation, its visibility and accuracy, as well as atraumaticity and prevention of complications.

Keywords

salivary stone disease / salivary gland duct calculus / ultrasound imaging / calculus removal

References

[1] Romacheva IF, Yudin LA, Afanas’yev VV, Morozov AN. Zabolevaniya i povrezhdeniya slyunnykh zhelyoz. (Diseases and injuries of the salivary glands.) Мoscow: Meditsina; 1987. 240 р. (In Russ.)

[2] Ромачева И.Ф., Юдин Л.А., Афанасьев В.В., Морозов А.Н. Заболевания и повреждения слюнных желёз. М.: Медицина; 1987. 240 с.

[3] Panin AM, Gayduk IV. Diseases and injuries of the salivary glands. In: Chelyustno-litsevaya khirurgiya. (Maxillofacial Surgery.) AYu Drobyshev, OO Yanushevich, editors. Moscow: ­GEOTAR-Media; 2018. p. 349–398. (In Russ.)

[4] Панин А.М., Гайдук И.В. Заболевания и повреждения слюнных желёз. В кн.: Челюстно-лицевая хирургия. Под ред. А.Ю. Дробышева, О.О. Янушевича. М.: ГЭОТАР-Медиа; 2018. с. 349–398.

[5] Huoh KC. Etiologic factors in sialolithiasis. Otolaryngol Head Neck Surgery. 2011;145(6):935–939. DOI: 10.1177/0194599811415489.

[6] Hung SH, Lin HC, Su CH, Chung SD. Association of sialolithiasis with cholelithiasis: A population-based study. Head Neck. 2016;38(4):560–563. DOI: 10.1002/hed.23926.

[7] Stack BCJr, Norman JG. Sialolithiasis and primary hyperparathyroidism. Otorhinolaryngol Relat Spec. 2008;70(5):331–334. DOI: 10.1159/000149836.

[8] Hung SH, Huang HM, Lee HC, Ching Lin H, Kao LT, Wu CS. A population-based study on the association between chronic periodontitis and sialolithiasis. Laryngoscope. 2016;126(4):847–50. DOI: 10.1002/lary.25360.

[9] Wu CC, Hung SH, Lin HC, Lee CZ, Lee HC, Chung SD. Sialolithiasis is associated with nephrolithiasis: a case-control study. Acta Otolaryngol. 2016;136(5):497–500. DOI: 10.3109/00016489.2015.1129068.

[10] Hung SH, Xirasagar S, Cheng YF, Lin HC. A case-­control study of the association between sialolithiasis and osteoporosis. Clin Otolaryngol. 2019;44(3):343–348. DOI: 10.1111/coa.13310.

[11] Sialoendoskopiya kak metod udaleniya konkrementov iz slyunnoy zhelezy. Klub stomatologov. (Sialoendoscopy as a method for removing stones from the salivary gland. Club of dentists.) https://stomatologclub.ru/stati/hirurgiya-12/sialoendoskopiya-kak-metod-udaleniya-konkrementov-iz-slyunnoj-zhelezy-3096/ (access date: 15.10.2019). (InRuss.)

[12] Сиалоэндоскопия как метод удаления конкрементов из слюнной железы. Клуб стоматологов. https://stomatologclub.ru/stati/hirurgiya-12/sialoendoskopiya-kak-metod-udaleniya-konkrementov-iz-slyunnoj-zhelezy-3096/ (дата обращения: 15.10.2019).

[13] Afanasiev VV, Abdusalamov MR, Kurbanov SM. Silentscope — new method of diagnosis and treatment of patients with salivary stone disease. The border need to use. Stomatologiya. 2018;97(4):28–30. (In Russ.) DOI: 10.17116/stomat20189704128.

[14] Афанасьев В.В., Абдусаламов М.Р., Курбанов С.М. Сиалоэндоскопия — новый метод диагностики и лечения больных слюннокаменной болезнью. Границы необходимости использования. Стоматология. 2018;97(4):28–30. DOI: 10.17116/stomat20189704128.

[15] Gi’lfanov BR, Ivanov OA, Voronina EM, Sha­rifislamov IF, Ksembaev SS, Hamzin II. Sposob udaleniya konkrementa iz protoka slyunnoy zhelezy. (Method of removal of the calculus from the duct of the salivary gland.) Patent for invention RF No. 2745359. Bulletin No. 9 issued at 24.03.2021. (In Russ.)

[16] Гильфанов Б.Р., Иванов О.А., Воронина Э.М., Шарифисламов И.Ф., Ксембаев С.С., Хамзин И.И. Способ удаления конкремента из протока слюнной железы. Патент РФ на изобретение №2745359. Бюлл. №9 от 24.03.2021.

RIGHTS & PERMISSIONS

Eco-Vector