Table 2. Different treatment options combined with the indication and the rate of cases that became symptom-free.
Therapy for sialolithiasis (number of treated patients) | Indication | Rate of symptom-free cases |
---|---|---|
Sialogogue and salivary gland massage
( n = 5) |
Conservative treatment regimen as the first step in a graded therapy | 80% |
Removal by endoscopy +/− papillotomy
( n = 7) |
Failed conservative treatment; intraductal location of the stone (stone < 5 mm) | 71% |
Transoral surgical removal
( n = 18) |
Intraductal location of the stone (stone > 5 mm) | 67% |
Extracorporeal shock wave lithotripsy (ESWL)
( n = 2) |
Intraparenchymal location of the stone | 100% |
ESWL prior to transoral surgical removal
( n = 2) |
Intraparenchymal location of the stone, intraductal location of the stone after ESWL | 100% |
ESWL prior to endoscopy and papillotomy
( n = 1) |
Intraparenchymal location of the stone, intrapapillary location of the stone after ESWL | 100% |
Submandibulectomy
( n = 1) |
Two failed attempts at transoral surgical removal | 100% |
Therapy for juvenile recurrent parotitis (number of treated patients) | Indication | Rate of symptom-free cases |
Sialogogue, salivary gland massage, ibuprofen ( n = 23) | Conservative treatment regimen as the first step in a graded therapy | 83% |
Antibiotics ( n = 6) | Clinical signs of bacterial superinfection | 83% |
Sialendoscopy with lavage and predinosolone ( n = 15) | > 5 episodes per year | 53% |
Therapy for acute sialadenitis (number of treated patients) | Indication | Rate of symptom-free cases |
Sialogogue, salivary gland massage, ibuprofen ( n = 5) | Mild symptoms without clinical signs of bacterial infection | 100% |
Per os antibiotics ( n = 14) | Clinical signs of bacterial infection | 100% |
Intravenous antibiotics ( n = 10) | No improvement following oral antibiotics | 100% |
Intravenous antibiotics + intravenous prednisolone
( n = 3) |
No improvement following oral antibiotics and more severe clinical picture | 100% |
Note: Concerning the rate of symptom-free cases, the values represent the percentage of each evaluated subgroup.