Diagnostic Modalities and Management of Sialolithiasis: An experimental study
DOI:
https://doi.org/10.56294/hl2025630Keywords:
Sialolithiasis, Diagnostic modalities, Stone removal, Salivary glands, Salivary duct obstructionAbstract
Introduction: Sialolithiasis, the calcification of stones in the salivary glands, is an over diagnosed but under diagnosed condition that can cause significant pain, discomfort, and impaired gland function. Early diagnosis and effective management are important to prevent complications. The research takes into account the diagnostic modalities and management of Sialolithiasis.
Aim: The objective of research is to compare the effectiveness of various diagnostic techniques in diagnosing Sialolithiasis and different management techniques, both conservative and surgical.
Methods: The research was performed on a sample of 350 Sialolithiasis-diagnosed patients. Diagnostic processes involving sialography, ultrasonography, and CT scans were performed on the participants. Therapeutic approaches, such as sialogogues, massage, and surgical extraction, were applied and results were compared according to the size, position, and material of the stones. Success rates, complications, and healing periods were assessed.
Results: The research revealed that ultrasonography and sialography were the best non-invasive diagnostic methods with CT scans helpful in identifying larger and deeper stones. Surgical treatment yielded the most conclusive results, especially in large or multiple stones. Conservative measures were successful in small, superficial stones, but recurrence was frequent in larger ones.
Conclusion: Early diagnosis of Sialolithiasis is crucial for preventing further complications. While non-invasive techniques are effective for initial detection, surgical intervention remains the most reliable method for stone removal. Further research is needed to explore minimally invasive options and improve management strategies for different stone sizes and gland locations.
References
1. Mandel L. Sialolithiasis. InClinical Management of Salivary Gland Disorders 2024 Jun 23 (pp. 65-87). Cham: Springer International Publishing.
2. Wang YH, Chen YT, Chiu YW, Yu HC, Chang YC. Time trends in the prevalence of diagnosed sialolithiasis from Taiwanese nationwide health insurance dental dataset. Journal of Dental Sciences. 2019 Dec 1;14(4):365-9. https://doi.org/10.1016/j.jds.2019.04.003
3. John CS, Daryani D, Uthkal MP, Adhiraja NJ, Nadakkavukaran D, Balakrishna MS. A Rare Case of Parotid Gland Sialolith.DOI: 10.36348/sjodr.2020.v05i12.004
4. Mora Ignacio Y. Educational intervention on alternative therapies for arthropathies. Rehabilitation and Sports Medicine. 2021;1:3.
5. Badash I, Raskin J, Pei M, Soldatova L, Rassekh C. Contemporary review of submandibular gland sialolithiasis and surgical management options. Cureus. 2022 Aug 18;14(8).DOI 10.7759/cureus.28147
6. Sarifah N, Rahman FU, Nurrachman AS, Azhari A, Epsilawati L. Considerations of multi-imaging modalities for diagnosing of sialolithiasis in the submandibular gland: a case report. Dentino: Jurnal Kedokteran Gigi.;7(2):118-23.
7. Koch M, Schapher ML, Mantsopoulos K, Goncalves M, Iro H. Simultaneous Application of Ultrasound and Sialendoscopy and its Value in the Management of Sialolithiasis. Ultraschall in der Medizin-European Journal of Ultrasound. 2022 Jun;43(03):289-97.DOI: 10.1055/a-1270-7174
8. Koch M, Schapher ML, Mantsopoulos K, Goncalves M, Iro H. Simultaneous Application of Ultrasound and Sialendoscopy and its Value in the Management of Sialolithiasis. Ultraschall in der Medizin-European Journal of Ultrasound. 2022 Jun;43(03):289-97.
9. Avishai G, Ben-Zvi Y, Ghanaiem O, Chaushu G, Gilat H. Sialolithiasis—do early diagnosis and removal minimize post-operative morbidity?. Medicina. 2020 Jul 2;56(7):332. https://doi.org/10.3390/medicina56070332
10. Sidiq M, Chahal A, Gupta S, Reddy Vajrala K. Advancement, utilization, and future outlook of Artificial Intelligence for physiotherapy clinical trials in India: An overview. Rehabilitation and Sports Medicine. 2024; 4:73.
11. Lommen J, Schorn L, Roth B, Naujoks C, Handschel J, Holtmann H, Kübler NR, Sproll C. Sialolithiasis: retrospective analysis of the effect of an escalating treatment algorithm on patient-perceived health-related quality of life. Head & Face Medicine. 2021 Dec;17:1-8. https://doi.org/10.1186/s13005-021-00259-1
12. Erkul E, Çekin E, Güngör A. Long-term outcomes of sialendoscopy in the management of sialolithiasis and idiopathic chronic sialadenitis with ductal scars. Turkish archives of otorhinolaryngology. 2019 Jun 1;57(2):75. https://doi.org/10.5152/tao.2019.4290
13. Almotairi N, Alotaibi M, Aldaihani M, Almutairi M, AlMutairi Sr MM. Parotid Sialolithiasis in a 17-Year-Old Girl. Cureus. 2023 Mar 19;15(3).DOI: 10.7759/cureus.36378
14. Skalias A, Garefis K, Markou K, Nikolaidis V, Konstantinidis I. The effectiveness and safety of sialendoscopy for sialolithiasis in children: a systematic review and meta-analysis. European Archives of Oto-Rhino-Laryngology. 2023 Jul;280(7):3053-63. https://doi.org/10.1007/s00405-023-07877-2
15. Morris S, Ahmed J, Browning S. Sweet shop sialagogues: a sour solution to sialolithiasis. Cureus. 2022 Dec 1;14(12).DOI: 10.7759/cureus.32097
16. Venkateshwar, G., Keswani, E., Singh, V., Nayan, S., Mahale, T. and Rahman, N., LARGE ASYMPTOMATIC SIALOLITH OF WHARTON’S DUCT-A CASE REPORT.
17. Manuaba IA, Ayusta IM, Patriawan P. Overview of findings on radiographic examination of sialography in patients with sialolithiasis: case serial. Indonesia Journal of Biomedical Science. 2022 Dec 29;16(2):120-3. https://doi.org/10.15562/ijbs.v16i2.407
18. Ramírez P L. Innovating in Mental Health: Metacognitive Psychotherapy. Rehabilitation and Sports Medicine. 2024; 4:74.
19. Alves NM, Veiga LC, Coelho EM, Kramer PF, Rodrigues PH, Weber JB. An Unusual Case of Submandibular Sialolithiasis in Early Childhood: A Case Report. Open Journal of Stomatology. 2022. https://doi.org/10.4236/ojst.2022.1212031
20. Plonowska KA, Ochoa E, Ryan WR, Chang JL. Sialendoscopy in chronic obstructive sialadenitis without sialolithiasis: a prospective cohort study. Otolaryngology–Head and Neck Surgery. 2021 Mar;164(3):595-601. https://doi.org/10.1177/0194599820957256
21. Pereira CM, de Souza FH, Teixeira CG. SURGICAL TREATMENT OF LARGE DIMENSIONS SIALOLITH IN SUBMANDIBULAR GLAND: CASE REPORT. RevistaCiências e Odontologia. 2019 Dec 2;3(2):47-50.
22. Herrera Broche M, Fraga Ramirez O, Hernández Chisholm D, Gutiérrez Pérez ET, González García TR, Medina Hernández L. Clinical epidemiological method in the evaluation of rehabilitative technological procedures in Multiple Sclerosis. Rehabilitation and Sports Medicine. 2025; 5:104.
23. Thong HK, Mahbob HM, Athar PP, Kamalden TM. Recurrent submandibular sialolithiasis in a child. Cureus. 2020 Dec 19;12(12).DOI: 10.7759/cureus.12163
24. Takahara M, Sabusawa T, Ohara K, Katada A, Hayashi T, Harabuchi Y. Treatment outcomes of sialendoscopy for submandibular gland sialolithiasis. Auris Nasus Larynx. 2023 Oct 1;50(5):783-9. https://doi.org/10.1016/j.anl.2023.01.006
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Copyright (c) 2025 Ahtesham Ahmad Qurishi, Putta Chandana , Vishal Ashokrao Mhaske , Puneeta Vohra , Suhas Gupta, Amritpal Sidhu (Author)

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