NONOPERATIVE REMOVAL OF SIALOLITHS AND SIALODOCHOPLASTY OF SALIVARY DUCT STRICTURES

Objective: To describe the nonsurgical removal of sialoliths and treat ment of salivary duct strictures. Design: Case series. Setting: Two 20 0-bed general community hospitals. Patients: Twelve consecutive patien ts from April 1985 to November 1994-8 with calculi, 3 with salivary du ct strictures, and 1 with calculi and stricture. Results: Successful n onoperative removal of calculi in 7 of 9 patients. All 4 sialodochopla sties were successful. All 10 patients with successful procedures had no recurrent symptoms. Seven patients have been symptom-free for 10 mo nths to 10 years. Communication with 3 patients has been impossible re cently, although these patients were symptom-free for at least 3 years . Conclusion: These methods of nonsurgical sialolith removal and sialo docoplasty were highly successful and should be used as the initial th erapies for patients with these conditions.