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The State of the Art

Francis Marchal, MD, PD; Pavel Dulguerov, MD, PD

Arch Otolaryngol Head Neck Surg. 2003;129:951-956.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Sialolithiasis is the main cause of unilateral diffuse parotid or submandibular gland swelling. Its incidence has been poorly studied but seems to be much higher than the classic data published by Rauch of 1 case per 300 000 people per year.¹ In a recent study, based on hospital admission figures in England, Escudier and McGurk² estimated this incidence to be between 1 per 15 000 and 1 per 30 000. Personal observations of an incidence between 1 per 10 000 and 1 per 20 000 seem to confirm these results (F.M. and P.D., unpublished data, 2002). Sialolithiasis results in a mechanical obstruction of the salivary duct, causing repetitive swelling during meals, which can remain transitory or be complicated by bacterial infections.^3-4 Traditionally, recurring episodes necessitate treatment by open surgery, and sialolithiasis still represents the most frequent reason for submandibular gland resection.^5-6 Interestingly, parotid gland resection remains less . . . [Full Text of this Article]

PHYSIOPATHOLOGIC CHARACTERISTICS

RADIOLOGICAL DIAGNOSTIC APPROACHES

Standard x-Ray Films

Computed Tomographic Scan

Ultrasonography

Sialography: The Old "Gold Standard"

MR Sialography: A New, Noninvasive Technique

A NEW APPROACH: DIAGNOSTIC SIALENDOSCOPY

CLASSIC THERAPEUTIC APPROACHES

INTERVENTIONAL SIALENDOSCOPY

DECISION TREE

From the Department of Otolaryngology–Head and Neck Surgery, Geneva University Hospital, Geneva, Switzerland. The authors have no relevant financial interest in this article.

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