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Sánchez Barrueco A, Alcalá Rueda I, Ordoñez González C, Sobrino Guijarro B, Santillán Coello J, Tapia GD, Guerra Gutiérrez F, Campos González A, Brenna A, Cenjor Españo C, Villacampa Aubá JM. Transoral removal of submandibular hilar lithiasis: results on the salivary duct system, glandular parenchyma, and quality-of-life recovery. Eur Arch Otorhinolaryngol 2023; 280:5031-5037. [PMID: 37410145 PMCID: PMC10562331 DOI: 10.1007/s00405-023-08081-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 06/14/2023] [Indexed: 07/07/2023]
Abstract
OBJECTIVE(S) To confirm that hilar transoral submandibular sialolitectomy (TOSL) is the first treatment option for submandibular hilar lithiasis (SHL) in terms of glandular parenchyma recovery, salivary system restoration, and patient quality of life (QoL) improvement. METHODS Depending on whether the stone was easily palpable, TOSL was carried out with or without sialendoscopy. For the first time in the literature, Magnetic Resonance Sialography (MR-Si) was performed before and after TOSL, to evaluate stone characteristics, glandular parenchyma status, hilum dilation and main duct recanalization. Radiological data was examined independently by two radiologists. COSQ, a recently validated and specific questionnaire, was used to assess associated QoL. RESULTS Between 2017 and 2022, 29 TOSL patients were examined. With a high interobserver correlation, MR-Si was confirmed as a very useful radiological test in the pre- and post-surgical evaluation of SHL. The salivary main duct was completely recanalized in all cases. The presence of lithiasis was found in 4 patients (13.8%). After surgery, the majority of patients (79.31%) had hilum dilation. There was a statistically significant improvement in parenchyma status, but no significant progression to glandular atrophy. After surgery, COSQ mean values always improved (22.5 to 4.5). CONCLUSIONS TOSL is the ideal surgical technique for the management of SHL, resulting in improved parenchymal inflammatory changes, recanalization of Wharton's duct, and enhancement patients' QoL. As a result, before removing the submandibular gland, TOSL should be considered as the first treatment option for SHL.
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Affiliation(s)
- Alvaro Sánchez Barrueco
- Medicine Faculty, Alfonso X El Sabio University, Villanueva de La Cañada, Madrid, Spain
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital and General Villalba University Hospital, Madrid, Spain
| | - Ignacio Alcalá Rueda
- Medicine Faculty, Alfonso X El Sabio University, Villanueva de La Cañada, Madrid, Spain
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital and General Villalba University Hospital, Madrid, Spain
| | | | | | - Jessica Santillán Coello
- Medicine Faculty, Alfonso X El Sabio University, Villanueva de La Cañada, Madrid, Spain
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital and General Villalba University Hospital, Madrid, Spain
| | - Gonzalo Díaz Tapia
- Medicine Faculty, Alfonso X El Sabio University, Villanueva de La Cañada, Madrid, Spain
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital and General Villalba University Hospital, Madrid, Spain
| | | | - Alfonso Campos González
- Medicine Faculty, Alfonso X El Sabio University, Villanueva de La Cañada, Madrid, Spain
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital and General Villalba University Hospital, Madrid, Spain
| | - Alessandra Brenna
- Medicine Faculty, Alfonso X El Sabio University, Villanueva de La Cañada, Madrid, Spain
| | - Carlos Cenjor Españo
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital and General Villalba University Hospital, Madrid, Spain
| | - José Miguel Villacampa Aubá
- Medicine Faculty, Alfonso X El Sabio University, Villanueva de La Cañada, Madrid, Spain
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital and General Villalba University Hospital, Madrid, Spain
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Sánchez Barrueco Á, Santillán Coello JM, González Galán F, Alcalá Rueda I, Aly SO, Sobrino Guijarro B, Mahillo Fernández I, Cenjor Español C, Villacampa Aubá JM. Correction to: Epidemiologic, radiologic, and sialendoscopic aspects in chronic obstructive sialadenitis. Eur Arch Otorhinolaryngol 2023; 280:2061-2062. [PMID: 36719504 DOI: 10.1007/s00405-023-07834-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Álvaro Sánchez Barrueco
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain. .,ENT and Cervicofacial Surgery Department, Villalba General University Hospital, Collado Villalba, Spain.
| | - Jessica Mireya Santillán Coello
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.,ENT and Cervicofacial Surgery Department, Villalba General University Hospital, Collado Villalba, Spain
| | - Fernando González Galán
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.,ENT and Cervicofacial Surgery Department, Villalba General University Hospital, Collado Villalba, Spain
| | - Ignacio Alcalá Rueda
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.,ENT and Cervicofacial Surgery Department, Villalba General University Hospital, Collado Villalba, Spain
| | | | | | - Ignacio Mahillo Fernández
- Institute for Health Research, Research Unit, Fundación Jiménez Díaz University Hospital, Madrid, Spain
| | - Carlos Cenjor Español
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.,ENT and Cervicofacial Surgery Department, Villalba General University Hospital, Collado Villalba, Spain
| | - José Miguel Villacampa Aubá
- ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.,ENT and Cervicofacial Surgery Department, Villalba General University Hospital, Collado Villalba, Spain
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Báez-Martínez EM, Maure Blesa L, Sobrino Guijarro B, Ordoñez Gonzalez C, Navas Vinagre I, García Torres MA. Eagle syndrome. Pract Neurol 2021; 21:548-549. [PMID: 34389645 DOI: 10.1136/practneurol-2021-002949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/22/2021] [Indexed: 11/03/2022]
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Sánchez Barrueco A, Sobrino Guijarro B, González Galán F, Cenjor Español C. Spontaneous percutaneous extrusion of an accessory parotid gland lithiasis. Braz J Otorhinolaryngol 2020; 87:758-760. [PMID: 33339759 PMCID: PMC9422411 DOI: 10.1016/j.bjorl.2020.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 10/20/2020] [Accepted: 11/09/2020] [Indexed: 11/30/2022] Open
Affiliation(s)
- Alvaro Sánchez Barrueco
- Fundación Jiménez Diaz University Hospital, ENT and Cervicofacial Surgery Department, Madrid, Spain.
| | | | - Fernando González Galán
- Fundación Jiménez Diaz University Hospital, ENT and Cervicofacial Surgery Department, Madrid, Spain
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Sanchez Barrueco A, Santillan Coello J, Sobrino Guijarro B, Villacampa Aubá JM, Cenjor Español C. Sialolithiasis in an Accessory Submandibular Gland Identified by Magnetic Resonance Sialography. Ann Otol Rhinol Laryngol 2016; 125:603-606. [PMID: 26961009 DOI: 10.1177/0003489416636128] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Accessory submandibular gland is a very rare anatomical variant. There have been only 6 reported cases of this entity in the English literature, only 1 of which was identified using magnetic resonance imaging. METHODS We report the case of a 39-year-old female with symptoms of left submandibular sialoadenitis who was diagnosed of sialolithiasis within the left accessory submandibular gland by magnetic resonance sialography (MR-Si). RESULTS The calculus was palpated near the submandibular papilla and was extracted by an intraoral approach. One-year follow-up revealed no evidence of recurrence. CONCLUSIONS This is the first case reported to date in the English literature of a patient with sialolithiasis within an accessory submandibular gland diagnosed by MR-Si.
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