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September 1996

Nonoperative Removal of Sialoliths and Sialodochoplasty of Salivary Duct Strictures

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