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. 2020 Jan 9;24(1):e31–e37. doi: 10.1055/s-0039-1697993

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.