Campos-Villanueva C, Téllez-Rodríguez J, López-Fernández R

Language: Spanish
References: 25
Page: 393-401
PDF size: 565.62 Kb.

ABSTRACT

Sialolithiasis is an obstructive pathology of the salivary gland characterized by the formation of stones in the ductal system or parenchyma. Its incidence is greater in the submandibular gland in 85%, 10% to the parotid gland and 5% to the gland sublingual. Its etiology is attributed to the deposition of inorganic material around an organic nest with salivary mucin, desquamated epithelial cells and bacteria as well as to the anatomical distribution of the gland with respect to its excretor conduct. The sialolit is formed by calcium phosphate compound, small amounts of carbonates in the hydroxyapatite form, magnesium, potassium and ammonia. On patients with sialolithiasis symptoms hydration is essential, moist has is to be applied and massaged into the affected gland, while sialogogues intake and salivary production promoting stone passage through the conduit. Sometimes the obstruction of the saliva output may be signs and symptoms of an infectious process. Almost half of the submandibular sialoliths are located in the middle third or distal duct and are susceptible to elimination under conservative treatment or lithectomy. Sialolithiasis is an unusual condition in the pediatric patient. This article includes a review of the literature presenting the etiology, diagnosis aids and conservative or surgical treatments.

REFERENCES

1. Batori M, Mariotta G, Chatelou H. Diagnostic and surgical management of submandibular gland sialolithiasis: report of a Stone of unusual size. Eur Rev Mer Pharmaco Sci 2005;9(1):67-68.

2. Grases F, Santiago C, Simonet BM. Sialolithiasis: mechanism of calculi formation and etiologic factors. Clinica Chimic Acta 2003;334(1-2):131–136.

3. Lombardi A, Arienza F, Cerullo M. Tratamiento de la sialolitiasis. Informe de 22 casos. RAOA 2010;98(3):207-209.

4. Al-Abri R, Marchal F. New era of endoscopic approach for sialolithiasis: Sialendoscopy. Sultan Qaboos Univ Med J 2010;10(3):382-387.

5. Berini Aytes L, Gay Escoda C, Sánchez Garcés Ma. A. Litiasis de las glándulas salivales. Anales de odontoloestomatología 1994;4(94):103-114.

6. Lerena J, Sancho M.A, Cáceres F. Litiasis salival en la infancia. Cir Pediatr 2007;20:101-105.

7. Francis Marchal, Pavel Dulguerov. Sialolithiasis management. Arch Otolaryngol. Head Neck Surg 2003;129:951-956.

8. Rebolledo Cobos M, Carbonell Muñoz Z, Díaz Caballero A. Sialolitos En conductos de glándulas salivales. Revisión de literatura. Avances en odontoestomatología 2009;25(6):311-317.

9. Sobrino-Guijarro B, Cascarini L. Advances in imaging of obstructed salivary glands can improve diagnostic outcomes. Oral Maxillofac Surg 2013;17(1):11-19.

10. Siddiqui S.J. Sialolithiasis: an unsually large submandibular salivary stone. British Dental Journal 2002;193(2):89-91.

11. Pagare S.S., Vasavi Krishnamurthy. Submandibular sialolithiasis- A case report. Scientific journal 2008;II

12. Ellies M, Laskawi R. Diseases of salivary glands in infants and adolescents. Head Face Med 2010;6:1.

13. Sheikh A, Lai R, Pass B. Diagnosis and management challenges of Sialolithiasis. Case report. Dent today 2008;27(7):94- 96.

14. Alvarez-Buhilla P, Blanco Bruned JL, Torres Piedra C. Tratamiento de la sialolitiasis con láser de CO2. An Esp Pediatr 2000;53:62-63.

15. Torres Lagares D, Barranco Piedra S. Sialolitiasis parotídea del conducto de Stensen. Med Oral Patol Oral Cir Bucal 2006;11:E80-4.

16. McCullom C 3rd, Lee CY. Sialolithiasis in a 8-year-old child: case report. Pediatr Dent 1991;13(4):231-33.

17. Capaccio P, Torretto S. Modern management of obstructive salivary diseases. Acta Otorhinolaryngol Ital 2007;27(4):162-172.

18. Rajesh C, Kamble, Alapana N. Joshi. Ultrasonund characterization of salivary lesions. Otorhinolaryngolg Clin 2013;5(2):77-90.

19. Kim do H, Song WS. Parotid sialolithiasis in a two-year-old boy. Korean J. Pediatr 2013;56(10):451-455.

20. Lim HK, Kim SM. Clinical, statistical and chemical study of sialolithiasis. J Korean Assoc Oral Maxillofac Surg 2012;38(1):44-49.

21. Zarzar E, Agurto J. Sialolito de inusual tamaño en la glándula submandibular. Reporte de un caso clínico. Revista dental de chile 2002;93(2):9-10.

22. Konstantinidis I, Chatziavramidis A. Pediatric sialendoscopy under local anesthesia: limitations and potentials. Int J Otorhinolaryngol 2011;75(2):245-249.

23. Nahlieli O, Eliav E. Pediatric Sialolithiasis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90(6):709-712.

24. Hackett AM, Baranano CF. Sialoendoscopy for the treatment of pediatric salivary gland disorders. Arch Otolaryngol Head Neck Surg 2012;138(10):912-915.

25. Lozano Blasco J, López Segura N. Spontaneous passage of a submandibular salivary stone. An Pediatr 2003;59(4):593- 595.