In‐office Transoral Hilar Sialolithotomy: A Cost‐Effective and Patient‐Centered Procedure.

Autor: Tunkel, Alexandra E., Ferraro, Tatiana, Shaver, Timothy B., Niermeyer, Weston L., Lee, Esther, Joshi, Arjun S.
Zdroj: Laryngoscope; Sep2024, Vol. 134 Issue 9, p4042-4044, 3p
Abstrakt: This article explores the practice of in-office transoral sialolithotomy, a procedure used to remove salivary stones. The procedure, which is done with local anesthesia, is primarily used for distal submandibular stones but can also be used for other types of stones. The article emphasizes the benefits of in-office procedures, such as reduced time and costs for patients, as well as potential improvements in outcomes and quality of life. A study conducted by the senior author found similar rates of complications and stone recurrence compared to removal under general anesthesia. The article discusses the effectiveness and advantages of in-office transoral sialolithotomy for submandibular hilar and intraglandular stones, with a success rate of 90% and a low complication rate of 5%. It offers benefits for both patients and physicians, including reduced costs and anesthesia exposure. However, it is important to note that the study is limited to the experience of a single surgeon, and there may be subjective factors that influence the decision to abort the procedure or classify stones. Overall, in-office transoral sialolithotomy is a viable option for treating submandibular sialoliths. [Extracted from the article]
Databáze: Complementary Index