Sialendoscopy for sialolithiasis: early treatment, better outcome

Head Neck. 2012 Apr;34(4):499-504. doi: 10.1002/hed.21762. Epub 2011 Apr 11.


Background: The objective of this study was to investigate whether patients with a short-term and long-term disease course of sialolithiasis show differences in the clinical picture and the outcome after sialendoscopy.

Methods: We retrospectively analyzed the findings and clinical courses of 62 consecutive patients who received sialendoscopy for sialolithiasis.

Results: In 30 patients stones could be removed by pure endoscopic means. Stone size and stone mobility were significant predictors and the duration of symptoms was a marginally significant predictor for the endoscopic removability of stones. Patients with a good outcome had a significant shorter duration of symptoms than patients with a worse outcome.

Conclusions: The results of our study indicate an association between the duration of symptoms and the outcome after sialendoscopy for sialolithiasis. Early sialendoscopic treatment indicates a favorable outcome and is recommended for sialolithiasis after failure of conservative treatment.

Publication types

  • Comparative Study

MeSH terms

  • Acute Disease
  • Adult
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Chronic Disease
  • Cohort Studies
  • Confidence Intervals
  • Early Diagnosis
  • Endoscopy / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods
  • Odds Ratio
  • Patient Selection
  • Retrospective Studies
  • Risk Assessment
  • Salivary Gland Calculi / diagnosis*
  • Salivary Gland Calculi / surgery*
  • Severity of Illness Index
  • Statistics, Nonparametric
  • Time Factors
  • Treatment Outcome
  • Young Adult