Nonoperative removal of sialoliths and sialodochoplasty of salivary duct strictures
R. H. Kim, A. M. Strimling, T. Grosch, D. E. Feider and J. J. Veranth
Radiology Department, St. Luke's Hospital, Racine, Wis, USA.
OBJECTIVE: To describe the nonsurgical removal of sialoliths and treatment
of salivary duct strictures. DESIGN: Case series. SETTING: Two 200-bed
general community hospitals. PATIENTS: Twelve consecutive patients from
April 1985 to November 1994-8 with calculi, 3 with salivary duct
strictures, and 1 with calculi and stricture. RESULTS: Successful
nonoperative removal of calculi in 7 of 9 patients. All 4
sialodochoplasties were successful. All 10 patients with successful
procedures had no recurrent symptoms. Seven patients have been symptom-free
for 10 months to 10 years. Communication with 3 patients has been
impossible recently, although these patients were symptom-free for at least
3 years. CONCLUSIONS: These methods of nonsurgical sialolith removal and
sialodocoplasty were highly successful and should be used as the initial
therapies for patients with these conditions.
