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- Title
Removal of parotid sialoliths; techniques, complications, and success rate—A cohort study.
- Authors
Hafrén, Lena; Mäkinen, Laura K.; Haapaniemi, Aaro; Jokela, Johanna; Saarinen, Riitta
- Abstract
This article discusses the techniques, complications, and success rate of removing salivary stones in a cohort study. The study found that sialendoscopy should be the first-line treatment for these stones, and for larger or impacted stones, the transfacial-endoscopic approach should be considered. The article also highlights that some procedures can be done under local anesthesia, saving time and costs. The study found that antibiotics are not necessary for uncomplicated removal of the stones, and parotidectomy is rarely needed. The data shows that larger stones required a transfacial approach and took longer to remove. Complications occurred in 16% of patients, with chronic illnesses, prophylactic antibiotics, and transfacial procedures being associated with a higher risk. The majority of patients experienced symptom relief, and the success rate of stone removal was 86%. The authors concluded that routine use of antibiotics was not necessary for uncomplicated removal of these stones.
- Subjects
PAROTIDECTOMY; SIALOLITHIASIS; LOCAL anesthesia; COHORT analysis; FACIAL paralysis
- Publication
Clinical Otolaryngology, 2024, Vol 49, Issue 3, p337
- ISSN
1749-4478
- Publication type
Article
- DOI
10.1111/coa.14141