Oral surgery, oral medicine, oral pathology and oral radiology · 2024
Transoral approach for hilo-parenchymal submandibular stones: outcomes and predictors of success.
СтатьяНазвание и аннотация: Перевод в очереди
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Joachim Michael V, Mohana Aladdin, AbdelRaziq Murad, Abu El-Naaj Imad
Аннотация
OBJECTIVE: To evaluate the efficacy and safety of transoral surgical management for complex submandibular gland (SMG) stones.
STUDY DESIGN: A retrospective cohort study of 240 patients treated for sialolithiasis between 2015 and 2018, focusing on 57 cases of SMG stones that underwent stone removal procedures. Treatment methods, success rates, and complications were analyzed using Kaplan-Meier analysis, Cox proportional hazards regression, and multiple logistic regression.
RESULTS: Transoral surgical release was successful in 72.9% of cases. The overall complication rate was 10%. Stone size (hazard ratios [HR] = 0.85, P = .004) and hilar location (HR = 0.72, P = .036) were associated with longer symptom resolution time. Multivariate analysis revealed that stone size (odds ratios [OR] = 0.78, P = .009) and hilar location (OR = 0.45, P = .029) decreased the odds of successful removal.
CONCLUSIONS: Transoral surgical management of hilo-parenchymal SMG stones appears to be a safe and effective approach, potentially reducing the need for sialoadenectomy.
STUDY DESIGN: A retrospective cohort study of 240 patients treated for sialolithiasis between 2015 and 2018, focusing on 57 cases of SMG stones that underwent stone removal procedures. Treatment methods, success rates, and complications were analyzed using Kaplan-Meier analysis, Cox proportional hazards regression, and multiple logistic regression.
RESULTS: Transoral surgical release was successful in 72.9% of cases. The overall complication rate was 10%. Stone size (hazard ratios [HR] = 0.85, P = .004) and hilar location (HR = 0.72, P = .036) were associated with longer symptom resolution time. Multivariate analysis revealed that stone size (odds ratios [OR] = 0.78, P = .009) and hilar location (OR = 0.45, P = .029) decreased the odds of successful removal.
CONCLUSIONS: Transoral surgical management of hilo-parenchymal SMG stones appears to be a safe and effective approach, potentially reducing the need for sialoadenectomy.