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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
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Otorinolaringologia 2009 December;59(4):241-4

language: English

Pediatric sialolithiasis

Jeyakumar A.

Department of Pediatric Otolaryngology, Saint Louis University School of Medicine, Cardinal Glennon Children's Hospital , St Louis, MO, USA


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The etiology for salivary gland stone formation, one of the most common salivary gland problems, is largely unknown. In many cases the diagnosis is easy due to obvious clinical features, but for treatment considerations, imaging studies are often necessary. Sonography or magnetic resonance (MR) sialography are replacing sialography in the work up of patients with sialolithiasis. Besides traditional surgical procedures, new conservative treatment modalities like extracorporeal shock wave lithotripsy or interventional sialendoscopy are now available for the management of sialolithiasis. Pediatric sialolithiasis is exceedingly rare, and the data on the pediatric population is very limited. However, small studies have suggested that similar to adults, pediatric patients will benefit from minimally invasive to non-invasive procedures for sialoadenitis, before considering traditional surgical management.

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