1/32. The role of computerized tomography in the diagnosis and therapy of parotid stones: a case report.BACKGROUND: Small, semi-calcified parotid stones are difficult to diagnose as imaging can be extremely difficult. Understanding how to diagnose parotid stones is important to dentists, however, because people with this condition develop parotid swellings and may seek routine dental care. CASE DESCRIPTION: The authors describe a classic case of parotid sialadenitis secondary to a small lucent stone in Stensen's duct. They discovered the stone only because of the keen sensitivity of computerized tomography, or CT, to minimal amounts of calcific salts. The CT scan's ability to accurately locate the stone and its position within 1 centimeter of the orifice facilitated a successful intraoral surgical approach. CLINICAL IMPLICATIONS: CT can be a significant aid in early diagnosis and therapy of patients with parotid stones, who eventually develop sialadenitis. With early intervention, further gland degeneration and parotidectomy will be prevented.- - - - - - - - - - ranking = 1keywords = stone (Clic here for more details about this article) |
2/32. Salivary calculus: an insight into its pathogenesis--a case report of parotid sialolith in a 9 year old child.The occurrence of sialolithiasis in children is uncommon, while parotid sialoliths are rare. A case of parotid sialolith in a 9 year old child is reported.- - - - - - - - - - ranking = 17.239943525488keywords = calculus (Clic here for more details about this article) |
3/32. A case of sialolithiasis in a young female patient.This paper describes the examination, diagnosis and treatment of a swelling that appeared in the floor of the mouth of a healthy 15-year-old girl. A sialith (stone) is not the first thing one considers when dealing with oral swellings in childhood but it does occur. Theories for its formation are described, as are the radiographic and clinical details of the case.- - - - - - - - - - ranking = 0.1keywords = stone (Clic here for more details about this article) |
4/32. Submandibular sialolithiasis: a case report.Sialolithiasis, salivary gland calculus, is a relatively uncommon condition, which may present as a painful, recurrent swelling of the affected salivary gland or duct. It can also be associated with a bacterial infection, as a result of the physical obstruction of salivary flow. This report describes the treatment of a patient with an unusually large sialolith in the submandibular duct. The patient presented with an apparent dento-alveolar abscess.- - - - - - - - - - ranking = 4.309985881372keywords = calculus (Clic here for more details about this article) |
5/32. Salivary stone lithotripsy in the hiv patient.OBJECTIVE: To investigate the use of shock-wave lithotripsy in the treatment of salivary gland disease in hiv-positive patients. STUDY DESIGN: Four patients infected with human immunodeficiency virus with ultrasonographically confirmed sialolithiasis (three male patients, mean age 33.5 years, range 19-41 years) were treated with extracorporeal electromagnetic shock-wave lithotripsy. RESULTS: All but one of the patients were successfully treated or experienced relief, with complete stone clearance demonstrated by ultrasonography 12 months after lithotripsy. CONCLUSION: Extracorporeal shock-wave lithotripsy is a safe, effective and minimally invasive technique for the nonsurgical treatment of hiv-positive patients with sialolithiasis.- - - - - - - - - - ranking = 0.5keywords = stone (Clic here for more details about this article) |
6/32. Combined approach to impacted parotid stones.PURPOSE: This article describes the use of combined endoscopic and ultrasound approach to locate and to extract impacted parotid stones, which cannot be retrieved by intraoral approach alone. patients AND methods: A total of 12 parotid glands from 7 women and 5 men (age range, 35 to 62 years) with parotid sialoliths were treated with the combined method. Eleven of 12 of the procedures were performed under local anesthesia in an outpatient clinic. The identification of the calculi was done in 5 patients with 1.3-mm sialoendoscope (Nahlieli Sialoendoscope; Karl Storz, Tuttlingen, germany) in 6 patients with the aid of high-resolution ultrasound, and in 1 patient the location was combined endoscopy and ultrasound. The removal of the calculi was performed extraorally via minimal incision. The indications for the combined approach were 1) calculus in the posterior third of the Stensen's duct with too narrow duct anterior to it, 2) obstruction of the posterior or middle third of the Stensen's ducts leading to the calculus, 3) large (>5-mm) stones in the middle or posterior part of the duct that cannot be dilated for intraductal removal, and 4) intraparenchymal stones. RESULTS: Of the 12 patients, 9 had complete removal (75%); in 1 case with 3 sialoliths, we removed 2 and the gland remained asymptomatic. In 7 cases, the glands returned to function, 3 glands became atrophic with no function, but the gland remained asymptomatic. The aesthetic results were satisfactory in all cases, no major complications were noted. CONCLUSIONS: Combined endoscopic ultrasound approach is another minimal invasive technique for identification and removal of impacted parotid sialolithiasis.- - - - - - - - - - ranking = 9.3199717627439keywords = calculus, stone (Clic here for more details about this article) |
7/32. Non-operative removal of a parotid duct stone with a balloon angioplasty catheter.We illustrate a rapid and simple method for removal of a stone from the parotid duct using a balloon angioplasty catheter and digital subtraction imaging. No anaesthesia or surgical intervention is necessary.- - - - - - - - - - ranking = 0.5keywords = stone (Clic here for more details about this article) |
8/32. Ultrasound-guided basket retrieval of salivary stones: a new technique.We describe the successful use of ultrasound-guided retrieval of a submandibular stone with a basket in two patients.- - - - - - - - - - ranking = 0.5keywords = stone (Clic here for more details about this article) |
9/32. Parotid sialolithiasis in Stensen's duct.Salivary duct lithiasis is a condition characterized by the obstruction of a salivary gland or its excretory duct due to the formation of calcareous concretions or sialoliths resulting in salivary ectasia and even provoking the subsequent dilation of the salivary gland. Sialolithiasis accounts for 30% of salivary diseases and most commonly involves the submaxillary gland (83 to 94%) and less frequently the parotid (4 to 10%) and sublingual glands (1 to 7%). The present study reports the case of a 45-year-old male patient complaining of bad breath and foul-tasting mouth at meal times and presenting with a salivary calculus in left Stensen's duct. Once the patient was diagnosed, the sialolith was surgically removed using local anesthesia. In this paper we have also updated a series of concepts related to the etiology, diagnosis and treatment of sialolithiasis.- - - - - - - - - - ranking = 4.309985881372keywords = calculus (Clic here for more details about this article) |
10/32. Ultrasound-guided basket retrieval of a submandibular duct stone in a child.We describe the successful use of ultrasound-guided retrieval of a submandibular stone with a basket, in a 13-year-old child.- - - - - - - - - - ranking = 0.5keywords = stone (Clic here for more details about this article) |
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