ORGAN-PRESERVING TREATMENT OF PATIENTS WITH SALIVARY STONE DISEASE

Abstract

Resume. From 2003 to the present, the authors have examined and treated 620 patients with salivary
stone disease. In the complex of therapeutic measures, 144 of them performed sialolithotripsy. In 476
patients, only surgical removal of a stone from various parts of the parotid or submandibular ducts
was performed. The control examination of patients was carried out up to 16 years after treatment.
As a result, lithotripsy made it possible to achieve "recovery" in 90 patients (63%). "Improvement"
was noted in 45 patients (31%). In 9 patients (6%), the condition after crushing was regarded as "no
change". Surgically, salivary stones from the posterior parts of the submandibular duct were
completely removed from 469 (out of 476) patients.
Thus, the results of our studies have shown that the presence of salivary stone disease with the
localization of concretion in the distal parts of the ducts of the glands is not an indication for the
removal of the latter.