Comparison of sialolithiasis in pediatric and adult patients. Issue 2 (15th April 2017)

• Record Type: Journal Article
• Authors: Inui, Akinari; Itou, Ryohei; Oyama, Toshirou; Tamura, Yoshihiro; Kubota, Kosei; Kobayashi, Wataru
• Is Part Of: Oral science international. Volume 14:Issue 2(2017)
• Page Start: 37
• Page End: 39
• Publication Date: 2017-04-15
• Subjects: pediatric -- sialolithiasis -- salivary gland -- symptoms; Oral medicine -- Periodicals; Mouth -- Diseases -- Periodicals; Mouth -- Diseases; Oral medicine; Oral Medicine -- Periodicals; Stomatognathic Diseases -- Periodicals; Periodicals; 617.522
• DOI: 10.1016/S1348-8643(17)30019-8
• Languages: English
• ISSNs: 1348-8643

Abstract

Abstract: Aims: To compare the clinical characteristics of sialolithiasis between pediatric and adult patients. Settings and Design: Subject characteristics, clinical manifestations, salivary calculi characteristics, and treatment modalities and outcomes from medical records were retrospectively compared between pediatric and adult patients with sialolithiasis visiting the Department of Oral and Maxillofacial Surgery, Hirosaki University Hospital, between 2005 and 2014. Subjects: We included 5 pediatric (all boys) and 45 adult (20 men; 25 women) patients. Results: Most patients had submandibular swelling. The calculi were located on the right in 100.0% of pediatric patients and 57.8% of adult patients. Moreover, 20.0% of pediatric patients and 35.6% of adult patients exhibited sialoliths in the glands. Calculi were <5 mm in size in 100.0% of pediatric patients and 33.3% of adult patients. Pediatric sialolithiasis treatment included intraoral retrieval under local anesthesia in 4 cases (80.0%) and spontaneous expulsion from the duct in 1 case (20.0%). Adult sialolithiasis treatment included gland resection under general anesthesia in 8 cases (17.8%), intraoral retrieval under general anesthesia in 6 cases (13.3%), intraoral retrieval under local anesthesia in 19 cases (42.2%), spontaneous expulsion in 6 cases (13.3%), and follow‐up only in 6 cases (13.3%). Conclusions: A large number of relatively small and distal sialoliths in pediatric patients was removed using intraoral retrieval under local anesthesia. This difference in the choice of treatment between pediatric and adult sialolithiasis may be attributed to the size and palpability of the calculi.