caa a22 4500 606187588 CHVBK 20210128100841.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00405-014-3391-x doi (NATIONALLICENCE)springer-10.1007/s00405-014-3391-x Long-term results of combined approach in parotid sialolithiasis [Elektronische Daten] [I. Konstantinidis, A. Chatziavramidis, I. Iakovou, J. Constantinidis] Combined sialendoscopic and transcutaneous approach in parotid sialolithiasis is a surgical option for large and impacted stones. The aim of this study is to assess the long-term results regarding postoperative stenosis, recurrent swellings and gland function. Prospective study in a tertiary referral center of patients with parotid sialolithiasis requiring combined approach. A total of 12 patients have been treated within a period of 3years. Intraductal stents were placed in 9 of 12 cases. Scintigraphic evaluation of salivary glands and follow-up sialendoscopy performed 1year postoperatively. In total, fourteen stones (two stones in two cases) were successfully removed along with two coexisted inflammatory polyps. Postoperative endoscopic evaluation revealed mild stenosis in 7 out of 12 cases without clinical significance as no recurrent swellings were reported. Scintigraphy showed normal gland function in 11 cases and mild hypofunction in 1 case with long-standing history of sialolithiasis. All patients were free of symptoms within the follow-up period of time (median follow-up 15.5months). Combined approach is a safe, gland preserving and efficacious procedure in long term. The stenosis in the area of ductal surgical opening when present does not seem to be of clinical value. Springer-Verlag Berlin Heidelberg, 2014 Parotid gland nationallicence Sialolithiasis nationallicence Sialendoscopy nationallicence Transcutaneous nationallicence Salivary glands nationallicence Konstantinidis I. Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece aut Chatziavramidis A. Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece aut Iakovou I. 3rd Nuclear Medicine Department, Papageorgiou Hospital Aristotle University, Thessaloniki, Greece aut Constantinidis J. Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3533-3538 0937-4477 272:11<3533 2015 272 405 https://doi.org/10.1007/s00405-014-3391-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3391-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Konstantinidis I. Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Chatziavramidis A. Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Iakovou I. 3rd Nuclear Medicine Department, Papageorgiou Hospital Aristotle University, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Constantinidis J. Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3533-3538 0937-4477 272:11<3533 2015 272 405