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September 1996

Nonoperative Removal of Sialoliths and Sialodochoplasty of Salivary Duct Strictures

Author Affiliations

From the Radiology Department (Drs Kim and Strimling) and Ear, Nose, and Throat Division (Drs Grosch, Feider, and Veranth) of St Luke's Hospital and St Mary's Medical Center, Racine, Wis.

Arch Otolaryngol Head Neck Surg. 1996;122(9):974-976. doi:10.1001/archotol.1996.01890210048011

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.Arch Otolaryngol Head Neck Surg. 1996;122:974-976

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