RSS-Feed abonnieren
DOI: 10.1055/a-0896-9572
Sialolithiasis: aktuelle Diagnostik und Therapie
Sialolithiasis: Current Diagnostics and TherapyPublikationsverlauf
Publikationsdatum:
18. November 2019 (online)
Zusammenfassung
Die Sialolithiasis als eine der häufigsten Speicheldrüsenerkrankungen betrifft die Glandula submandibularis im Vergleich zur Glandula parotis deutlich häufiger. Im Verlauf der Erkrankung kommt es in vielen Fällen zu rezidivierenden Sialadenitiden. Durch verbesserte Diagnostik besteht neben der Submandibulektomie auch die Möglichkeit einer drüsenerhaltenden Therapie, z. B. mittels Miniaturendoskopie (Sialendoskopie).
Abstract
Sialolithiasis is one of the most common salivary gland diseases. The main symptom is acute swelling of a major salivary gland after food intake, whereby the submandibular gland is significantly more frequently affected compared to the parotid gland. In the course of the disease, recurrent sialadenitis occurs in many cases. In addition to submandibulectomy, there is currently not only the possibility of improved diagnostics but also of gland-preserving therapy, for example by means of miniature endoscopy (sialendoscopy).
-
Literatur
- 1 Iro H, Zenk J, Koch M. Modern concepts for the diagnosis and therapy of sialolithiasis. HNO 2010; 58: 211-217
- 2 Zenk J, Constantinidis J, Kydles S. et al. Clinical and diagnostic findings of sialolithiasis. HNO 1999; 47: 963-969
- 3 Lustmann J, Regev E, Melamed Y. Sialolithiasis. A survey on 245 patients and a review of the literature. Int J Oral Maxillofac Surg 1990; 19: 135-138
- 4 Escudier MP, McGurk M. Symptomatic sialoadenitis and sialolithiasis in the English population, an estimate of the cost of hospital treatment. Br Dent J 1999; 186: 463-466
- 5 Liu NM, Rawal J. Submandibular sialolithiasis in a child. Arch Dis Child 2013; 98: 407
- 6 Marchal F, Dulguerov P. Sialolithiasis management: the state of the art. Arch Otolaryngol Head Neck Surg 2003; 129: 951-956
- 7 Kraaij S, Brand HS, van der Meij EH. et al. Biochemical composition of salivary stones in relation to stone- and patient-related factors. Med Oral Patol Oral Cir Bucal 2018; 23: e540-e544
- 8 Bozzato A, Hertel V, Koch M. et al. Vitamin C as contrast agent in diagnosis of salivary duct obstruction. Laryngorhinootologie 2009; 88: 290-292
- 9 Kroll T, Schwarz D, Sturmer K. et al. Value of sialendoscopy in German ENT-hospitals in 2016. Laryngorhinootologie 2019; 98: 91-95
- 10 Wittekindt C, Jungehulsing M, Fischbach R. et al. Chronic recurrent parotitis in childhood in monozygotic twins. Magnetic resonance sialography. HNO 2000; 48: 221-225
- 11 Al-Nawas B, Beutner D, Geisthoff U. et al. The new S2k AWMF guideline for the treatment of obstructive sialadenitis in commented short form. Laryngorhinootologie 2014; 93: 87-94
- 12 Kroll T, Finkensieper M, Sharma SJ. et al. Short-term outcome and patient satisfaction after sialendoscopy. Eur Arch Otorhinolaryngol 2013; 270: 2939-2945
- 13 Marchal F, Kurt AM, Dulguerov P. et al. Histopathology of submandibular glands removed for sialolithiasis. Ann Otol Rhinol Laryngol 2001; 110: 464-469
- 14 Nahlieli O, Witt R. Classic Approaches to Sialoendoscopy for Treatment of Sialolithiasis. Salivary Gland Diseases Surgical and Medical Management 2005; 79-93
- 15 Su CH, Lee KS, Tseng TM. et al. Post-sialendoscopy ductoplasty by salivary duct stent placements. Eur Arch Otorhinolaryngol 2016; 273: 189-195
- 16 Geisthoff UW, Maune S. Ultrasound-guided mechanical fragmentation of sialoliths (sonoguide forceps). Head Neck 2010; 32: 1641-1647
- 17 McGurk M, Prince MJ, Jiang ZX. et al. Laser lithotripsy: a preliminary study on its application for sialolithiasis. Br J Oral Maxillofac Surg 1994; 32: 218-221
- 18 Konigsberger R, Feyh J, Goetz A. et al. Endoscopically-controlled electrohydraulic intracorporeal shock wave lithotripsy (EISL) of salivary stones. J Otolaryngol 1993; 22: 12-13
- 19 Nahlieli O, London D, Zagury A. et al. Combined approach to impacted parotid stones. J Oral Maxillofac Surg 2002; 60: 1418-1423
- 20 Lafont J, Graillon N, Hadj Said M. et al. Extracorporeal lithotripsy of salivary gland stone: A 55 patients study. J Stomatol Oral Maxillofac Surg 2018; 119: 375-378