Medicina Oral Patologia Oral Y Cirugia Bucal最新文献

{"title":"Epithelial salivary gland neoplasms in pediatric patients: A comprehensive review.","authors":"M-E Pérez-de-Oliveira, S-S Sousa-Neto, P-A Vargas","doi":"10.4317/medoral.26983","DOIUrl":"https://doi.org/10.4317/medoral.26983","url":null,"abstract":"<p><strong>Background: </strong>Salivary gland tumors (SGTs) are a rare group of neoplasms in pediatric patients, characterized by diverse histological subtypes and distinct biological behaviors. This manuscript aims to provide a comprehensive overview of the demographic, clinical, and histopathological characteristics of SGTs in this population, with the goal of enhancing understanding of their presentation and implications for treatment.</p><p><strong>Material and methods: </strong>An updated descriptive literature review was performed to identify studies reporting the clinicopathological features of epithelial SGTs in pediatric patients.</p><p><strong>Results: </strong>SGTs in pediatric patients are slightly more prevalent in females and typically arise during the second decade of life. The parotid gland is the most commonly affected site for both benign and malignant tumors, which usually present as an asymptomatic mass. Pleomorphic adenoma and mucoepidermoid carcinoma are the most frequently observed entities. Surgical intervention remains the primary treatment modality, and the overall prognosis is generally favorable.</p><p><strong>Conclusions: </strong>This review highlights that SGTs in pediatric patients present distinct clinical features and prognostic outcomes compared to adults. Although they are rare in this age group, clinicians should remain vigilant to these neoplasms when assessing nodular masses in both major and minor salivary glands.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral cancer awareness and knowledge among patients attending an oncological screening program in Portugal.","authors":"M Andrade, D Pereira, B Garcia, A Moreira, J Caramês, M Pojo, F Freitas","doi":"10.4317/medoral.27081","DOIUrl":"https://doi.org/10.4317/medoral.27081","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to evaluate the awareness and knowledge about oral cancer in a Portuguese population and to assess its possible relations with sociodemographic variables.</p><p><strong>Material and methods: </strong>A cross-sectional questionnaire survey was conducted, with 2650 individuals that attended oncological screening initiatives in the southern region of Portugal. The questionnaire collected data on participants' socio-demographic information, life-style habits, and awareness of oral cancer.</p><p><strong>Results: </strong>Over four-fifths of the participants (83.4%) mentioned that had already heard about oral cancer. Knowledge of oral cancer was significantly associated with age (p = 0.034), education level (p < 0.001), frequency of dentist visits (p < 0.001), and smoking (p = 0.015) and alcohol habits (p = 0.031). Regarding risk factors, smoking and alcohol usage were identified by 86% and 58.5% of the sample, respectively. Only 62.8%, 45.5%, and 37.9%, respectively, were able to correctly identify ulcers that don't heal, red and white lesions, and lumps/tissue that overgrows as early signs of oral cancer.</p><p><strong>Conclusions: </strong>A general lack of awareness regarding oral cancer was found in this Portuguese population. Lower levels of knowledge were found in individuals of higher risk for oral cancer. Therefore, educational programs targeting the risk population are highly recommended for the primary prevention and early diagnosis of oral cancer in the Portuguese population.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survival rate and marginal bone loss in titanium vs titanium-zirconia single-unit narrow diameter implants. A systematic review and Meta-analysis of prospective studies.","authors":"J-F Peña-Cardelles, S Akhondi, J Markovic, K Pala, A Lanis, G-O Gallucci","doi":"10.4317/medoral.27042","DOIUrl":"https://doi.org/10.4317/medoral.27042","url":null,"abstract":"<p><strong>Background: </strong>Implant-supported single-unit restorations present a predictable and widely used treatment option to replace missing teeth. Narrow-diameter implants provide a viable treatment option for clinical scenarios with limited bone availability, minimizing the need for bone augmentation procedures. This systematic review aims to assess implant survival and implant marginal bone loss among different single-unit narrow implant diameters and between titanium single-unit and titanium-zirconia single-unit narrow implants.</p><p><strong>Material and methods: </strong>This article was structured according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA®) Included criteria were randomized clinical trials (RCTs) and clinical prospective studies with at least 10 patients, a mean follow-up period of at least 12 months, and assessing single-tooth implants with a diameter of 3.5 mm or less.</p><p><strong>Results: </strong>Twelve included articles were prospective clinical studies, while 3 articles were randomized controlled clinical studies. There are no significant differences in the comparison between the 2.9-3.0 mm group and the 3.3-3.5 mm group (p=0.933). Both groups had a 99% survival (95% CI, 99.9%-100%). Titanium-zirconia implants presented a mean of marginal bone loss of -0,37 mm (CI, 95%: -0,53 to -0,20) meanwhile, titanium implants had a mean of marginal bone loss of -0,43 mm (CI95%:-0,71 to -0,28).</p><p><strong>Conclusions: </strong>The findings reveal no significant differences between 2.9-3.3mm and 3.3-3.5mm groups within narrow implants. Both titanium and titanium-zirconia alloys in narrow implants, exhibit comparable high survival rates and minimal marginal bone loss, showcasing their feasibility as a viable treatment alternative in scenarios with limited space or inadequate bone for regular diameter implants.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Medicine in Latin America and the Caribbean: A comprehensive survey of recognition, training, and practice.","authors":"C Saldivia-Siracusa, L-V González-Pérez, C Rivera, D-P Guevara, D Aviles, E-D Piemonte, E-C Garcia, E Contreras-Vidaurre, G Anaya-Saavedra, G-G Pérez, G-J Gómez, I Rios, L-P Espinal, N-A Londoño, R-A Rejas, R Epifanio, S-C Mora, S-V Celhay, M-A Lopes, A-R Santos-Silva","doi":"10.4317/medoral.26944","DOIUrl":"https://doi.org/10.4317/medoral.26944","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the scope of training and practice in Oral Medicine in Latin American and Caribbean countries. It explored legal, professional, and academic scope of regional OM practice, as well as current challenges perceived by experts in the field.</p><p><strong>Material and methods: </strong>We employed an observational, cross-sectional approach, utilizing a self-administered questionnaire delivered through the REDCap web platform.</p><p><strong>Results: </strong>Oral Medicine is officially recognized as a dental specialty in 66.7% of Latin American and Caribbean countries, and 66.7% countries recognize it as a standalone field, separate from Oral Pathology. Additionally, 23.8% of the surveyed countries have national postgraduate Oral Medicine programs. Nearly half (47.6%) of the countries lack specific regulations, and there is significant variation in understanding clinical competencies. Private practice emerged as the dominant field of work for Oral Medicine practitioners. Notably, 90.5% of respondents identified the lack of recognition by multidisciplinary teams as a significant barrier to the practice.</p><p><strong>Conclusions: </strong>This study provides information on the current landscape of Oral Medicine practice in Latin American and Caribbean countries. It highlights disparities in recognition, regulation, and performance of the specialty. These findings call for international initiatives aimed at enhancing training pathways, scope of practice and the impact of Oral Medicine in the region.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trigeminocardiac reflex in bimaxillary orthognathic surgery: case review.","authors":"L Ortiz-Peces, M Álvaro-Martínez, Á-D Moreiras-Sánchez, G Chacón-Ferrer, M Andura-Correas, J-L Castillo-Pardo de Vera, L Ortiz-González, J-L Cebrián-Carretero","doi":"10.4317/medoral.27062","DOIUrl":"https://doi.org/10.4317/medoral.27062","url":null,"abstract":"<p><strong>Background: </strong>The trigeminocardiac reflex (TCR) is a rare but clinically significant phenomenon characterized by bradycardia, hypotension, or asystole triggered by trigeminal nerve stimulation during maxillofacial surgery. It necessitates prompt recognition and management to ensure patient safety. TCR has been reported in orthognathic surgery, particularly during specific surgical maneuvers.</p><p><strong>Material and methods: </strong>We report the case of a 36-year-old male who experienced TCR during bimaxillary orthognathic surgery. Detailed documentation of the patient's clinical characteristics, intraoperative events, and management strategies was included. Additionally, we conducted a systematic review of the literature using Medline, Embase, Web of Science, and Scopus databases to identify cases of TCR in orthognathic surgery published from 1989 onward. Keywords included \"trigeminocardiac reflex,\" \"orthognathic surgery,\" \"Le Fort I,\" and \"bilateral sagittal split osteotomy\".</p><p><strong>Results: </strong>We present the case of a patient who experienced transient bradycardia and asystole during mandibular manipulation and pterygomaxillary disjunction. The episode was successfully managed with atropine and cessation of triggering maneuvers. Additionally, a systematic review identified 10 cases of TCR in orthognathic surgery, most of which occurred during Le Fort I osteotomies, particularly during maxillary downfracture, followed by bilateral sagittal split osteotomies. Common manifestations included bradycardia and asystole. Management strategies involved cessation of surgical stimuli, administration of anticholinergic agents, and, in one severe case, cardiopulmonary resuscitation.</p><p><strong>Conclusions: </strong>TCR in orthognathic surgery is a significant risk requiring vigilance and prompt management. Understanding its triggers, maintaining intraoperative monitoring, and employing preventive strategies, such as gentle manipulation and proper anesthesia protocols, are essential for optimizing patient safety.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periodontitis as a risk factor for colorectal cancer: systematic review and meta-analysis.","authors":"R-E Espejo-Carrera, T-M Honores-Solano, T-V Ulloa-Cueva, J-A Caballero-Alvarado, C-A Minchón-Medina, A-S Asmat-Abanto","doi":"10.4317/medoral.27118","DOIUrl":"https://doi.org/10.4317/medoral.27118","url":null,"abstract":"<p><strong>Background: </strong>Primary studies on the association between periodontitis and colorectal cancer (CRC) may have insufficient statistical power to reach a reliable conclusion. In this regard, the present systematic review and meta-analysis were conducted to determine whether periodontitis is a risk factor for CRC.</p><p><strong>Material and methods: </strong>A systematic search was carried out in five databases, which included cohort and case-control studies published up to July 3, 2024, in which periodontitis was evaluated as a risk factor for CRC using relative risk (RR), hazard ratio (HR) or odds ratio (OR). The Newcastle-Ottawa Scale (NOS) was used to assess the risk of bias, and the GRADE system was used to determine the certainty of the evidence.</p><p><strong>Results: </strong>Of 1476 articles retrieved, 8 cohort studies were included for qualitative analysis and meta-analysis. The overall synthesis showed that periodontitis is not a risk factor for CRC (RR=1.34; 95% CI: 0.96-1.89; p<0.09; I2=95%). In addition, subgroup analyses were performed according to gender, periodontitis diagnostic methods, and risk of bias, which led to the finding of an increased risk of CRC of 32% only for men with periodontitis (RR=1.32; 95% CI: 1.16-1.50; p<0.00001; I2=0%).</p><p><strong>Conclusions: </strong>Periodontitis is not a risk factor for CRC, with very low certainty of evidence. However, the analysis of subgroups by gender showed that it is a risk factor for CRC in men, with moderate certainty of evidence.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is lingual fracture pattern in sagittal split osteotomy associated with recovery of neurosensory disturbance?","authors":"Y-N Kaba, C Eren, A-E Demirbas, B-G Yaşar, E Soylu, N Gayıbov","doi":"10.4317/medoral.27136","DOIUrl":"https://doi.org/10.4317/medoral.27136","url":null,"abstract":"<p><strong>Background: </strong>Bilateral sagittal split osteotomy (BSSO) is commonly used to correct mandibular deformities but may cause neurosensory disturbance (NSD) of the lower lip due to potential injury to the inferior alveolar nerve (IAN). The purpose of this study was to evaluate the effect of LSS 3 on postoperative neurosensory disturbances. The hypothesis of this study was that the LSS 3 split pattern would extend the recovery time of neurosensory disturbance.</p><p><strong>Material and methods: </strong>The retrospective cohort study included patients who underwent BSSO surgery in Erciyes University, Oral and Maxillofacial Surgery Hospital. The primary predictor variable was the lingual split pattern. The split patterns were categorized using the Lingual Split Scale (LSS). The primary outcome was NSD. The postoperative sensation was assessed using a visual analogue scale (VAS). The secondary outcome was intraoperative nerve exposure. The nerve exposure was classified as No nerve encountered, Embedded in distal segment, Embedded in proximal segment and Nerve transected. All data were analyzed using Turcosa Cloud statistical software (Turcosa Ltd. Co., Turkey). p<0.05 was considered significant.</p><p><strong>Results: </strong>The study included 101 patients with 202 split sides. LSS 1 was the most common pattern (63.37%), followed by LSS 3 (25.74%). In LSS 3 split pattern, the inferior alveolar nerve mostly embedded in the proximal segment (p<0.05). NSD was highest in LSS 3 cases, particularly in the first 6 months postoperatively (p<0.05). However, no significant differences were observed after 12 months.</p><p><strong>Conclusions: </strong>LSS 3 splits may significantly increase embedded in the proximal segment and can associated with higher postoperative NSD, particularly in the first 6 months. Surgeons should consider factors contributing to LSS 3 patterns to reduce the risk of NSD.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inferior alveolar nerve damage related to dental implant placement. A systematic review and meta-analysis.","authors":"J-F Peña-Cardelles, J Markovic, S Akhondi, I Pedrinaci, A Lanis, G-O Gallucci","doi":"10.4317/medoral.27125","DOIUrl":"https://doi.org/10.4317/medoral.27125","url":null,"abstract":"<p><strong>Background: </strong>A concern associated with implant placement is the potential occurrence of neurovascular lesions and subsequent development of sensory alterations in patients undergoing implant placements. The objective of this review is to evaluate the incidence of neurosensory alterations based on the proximity between the implant and the mandibular canal Material and Methods: A systematic review was conducted in MEDLINE, Web of Science, and Scopus. Studies with common variables were selected to conduct a meta-analysis. The patient classification was based on the mandibular canal-implant distance. Neurosensory alteration percentages were calculated for each study and group.</p><p><strong>Results: </strong>The findings indicate significant correlations between implant placement proximity and neurosensory risks. The incidence of neurosensory alterations in patients with implants placed at a distance ≥ 2 mm from the mandibular canal was 0%. Similarly, for distances between 1-2 mm from the mandibular canal, the incidence remained at 0%. However, for implants placed at a distance of 0-1 mm from the mandibular canal, the incidence of neurosensory alterations was 68%. Additionally, patients with implants that intruded into the canal had an incidence of 53% in the development of neurosensorial alterations.</p><p><strong>Conclusions: </strong>A distance of 1 mm from the mandibular canal might be safe. Implants placed at a distance less than 1 mm from the mandibular canal exhibit neurosensory alterations. Clinicians should be aware of the potential risk of nerve injury and adopt appropriate precautions, including meticulous preoperative planning and three-dimensional radiographic images.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brazilian oral medicine and oral pathology: international scientific collaborations.","authors":"L-M Ferreira, J-P Nascimento, S Trezena, M-P Maia-Lima, L-F Sobral, A-M Alencar, D-R -Martelli, M-A Lopes, F-R Pires, H Martelli-Júnior","doi":"10.4317/medoral.27169","DOIUrl":"https://doi.org/10.4317/medoral.27169","url":null,"abstract":"<p><strong>Background: </strong>Research in Oral Medicine (OM) and Oral Pathology (OP) in Brazil has experienced remarkable growth, gaining international recognition. However, no analysis has evaluated the patterns of evolution of international partnerships and their role in advancing Brazilian research in these areas. This study analyzed collaborations between Brazilian and international researchers in OP/OM.</p><p><strong>Material and methods: </strong>A bibliometric cross-sectional survey was conducted using data from Brazilian researchers in OP/OM, identified through the Brazilian Society of Stomatology and Maxillofacial Pathology. Researchers' curriculum on the Lattes platform were analyzed, and data on publications, citations, co-authorships, affiliations, and journals were collected from the Scopus database, focusing on international collaborations. Bibliometric analyses were performed using the Bibliometrix tool in R Studio and VOSviewer software. Statistical trends between decades were compared using the Kruskal-Wallis test.</p><p><strong>Results: </strong>The sample included 229 researchers, most females (61.6%), affiliated with public institutions (78.9%), and with a mean time since achieving the PhD of 15.27 years. Almost half of the researchers (43.2%) had postdoctoral training, and among them 43.4% completed it abroad, mainly in the United States (USA), Canada, and the United Kingdom (UK). A total of 2,027 articles were analyzed, revealing a 10.53% annual growth in publications. The number of international collaborations significantly increased over decades (p < 0.001), with USA, UK, India, and Italy being the leading partners. Collaborative publications showed a significant rise in citations (42.61 per paper), mainly in high-impact journals.</p><p><strong>Conclusions: </strong>A steady increase in international collaborations in OP/OM was identified, especially with the USA and the UK. These partnerships have increased citations and publications in high-impact journals, which highlights their benefit and importance for research in these areas.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic litectomy: optimizing the management of sialolithiasis.","authors":"F Almeida-Parra, Á Ranz-Colio, Á Bueno-de-Vicente, C Cárdenas-Serres, P de Leyva-Moreno, J Acero-Sanz","doi":"10.4317/medoral.26992","DOIUrl":"https://doi.org/10.4317/medoral.26992","url":null,"abstract":"<p><strong>Background: </strong>Sialolithiasis of the salivary glandular complex appears with high frequency in the major salivary glands. The most affected salivary gland is the submandibular gland, followed by the parotid and sublingual glands. The treatment of this disease by endoscopic litectomy has reduced the need of adenectomy.</p><p><strong>Material and methods: </strong>We reviewed retrospectively a series of 77 patients who had salivary gland stones between January 2020 and January 2024. Inclusion criteria for endoscopic treatment was lithiasis smaller than 8 mm. Follow-up was performed at a week, one month and three months after the surgery by clinical examination with a mean follow-up of 17 months and CT in selected cases.</p><p><strong>Results: </strong>Treatment was successful in 69 cases, while in 8 patients the treatment failed, with a successful extraction of the stone in 89.61% of patients. A total of 74 stones were removed from 69 patients. The mean stone size was 6.68 mm (range 3 to 8 mm), located mainly in hilum (n=61, 75.60%), median duct (n=14, 17.07%) and retrocaruncular (n=6, 7.31%). Adenectomy, due to failure of the procedure, was performed in 10 patients, 7 in patients due to lack of recovery of the sialolith and in 3 patients due to postoperative stenosis after removal of the sialolith. Complications involved 6 patients with the presence of stenosis after the lithectomy procedure, in 3 patients it was resolved with endoscopic dilation and in the other 3 an adenectomy was necessary.</p><p><strong>Conclusions: </strong>Minimally invasive intraoral surgery has high success rate, contributes to reduce the need for glandular radical surgery with a low rate of severe complications.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}