Efficacy of combined sialendoscopic-assisted surgery in management of submandibular sialolithiasis: a systematic review

Abstract

Abstract Background The introduction of sialendoscopy has been a major step forward in providing an accurate means of diagnosing and locating submandibular sialolithiasis, also in permitting minimally invasive surgical treatment that can successfully manage those stones aiming for gland preservation. Methods We conducted a systemic review to assess the efficacy and safety of combined sialendoscopic assisted surgery in the management of submandibular sialolithiasis. This study included published medical articles from 2000 till 2022 concerning the efficacy and safety of combined sialendoscopic-assisted surgery in management of submandibular sialolithiasis searching Medline database (PubMed), Web of Science, Springer, Cochrane library, EMBASE. Fifteen articles met the inclusion criteria and were reviewed and analyzed. Results The success rate of combined sialendoscopic assisted surgery in management of submandibular sialolithiasis is 0.955% with 95% CI: (91.4% to 98.5). The overall percentage of sialadenectomy cases in the included studies is 2%. The overall percentage of complications in the included studies is 8%. Conclusion Combined sialendoscopic-assisted surgery is efficient and safe in management of submandibular sialolithiasis.

Keywords

• Sialendoscopy
• Trans-oral incision
• Submandibular
• Sialolithiasis
• Calculi
• Stones