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Review
. 2014 Oct;35(10):1188-94.

A meta-analysis of the efficacy and safety of managing parotid and submandibular sialoliths using sialendoscopy assisted surgery

Fatima M Jadu  1 , Ahmed M Jan
Affiliations
Review

A meta-analysis of the efficacy and safety of managing parotid and submandibular sialoliths using sialendoscopy assisted surgery

Fatima M Jadu et al. Saudi Med J. 2014 Oct.

Abstract

Objectives: To review the available techniques and procedures for management of parotid and submandibular sialoliths with special emphasis on the efficacy and safety of the most commonly used combination of techniques; namely, sialendoscopy with conservative surgical removal of the stone.

Methods: A systematic search of the English literature using MEDLINE, EMBASE, and the Cochrane library databases were conducted at the Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia. Articles between the years 2004 and 2013 were selected on the basis of preset inclusion criteria. Then, they were reviewed against a checklist to assess the evidence of efficacy of therapy or prevention and analyzed for pertinent data.

Results: Eleven articles met the inclusion criteria and were reviewed and analyzed. The success rate of sialendoscopy combined with minor surgical removal of parotid and submandibular sialoliths ranges from 69-100%.

Conclusion: Sialendoscopy combined with a minor surgical extraction of parotid and submandibular sialoliths is safe and efficacious.

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Figures

Figure 1
Figure 1
The stepwise process of selecting, reviewing, and scoring the articles included in the meta-analysis.
Figure 2
Figure 2
Results of the random effect model used for the meta-analysis demonstrating the detailed statistics for each study in addition to the event rate and relative weight.
Figure 3
Figure 3
Funnel plot of standard error for the 11 studies included in the meta-analysis demonstrating a relatively symmetrical distribution.
See this image and copyright information in PMC

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