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Salivary Stone Treatment in Germany - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Salivary Stone in Germany

Salivary stone Treatment in Germany | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for salivary stone treatment in Germany

Leading hospitals

Cost for treatment

Diagnosis of salivary gland stone
2402
Lithotripsy for salivary stone
7127.53
Resection of salivary stone
7208.96
General therapeutic rehabilitation
0.00
According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
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University Hospital Ulm
Germany, Ulm

University Hospital Ulm

Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
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University Hospital Frankfurt am Main
Germany, Frankfurt am Main

University Hospital Frankfurt am Main

Overall rating10 / 10
According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
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University Hospital Würzburg
Germany, Würzburg

University Hospital Würzburg

Overall rating9.2 / 10
According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
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University Hospital Hamburg-Eppendorf
Germany, Hamburg

University Hospital Hamburg-Eppendorf

Overall rating9.2 / 10
According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
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University Hospital Jena
Germany, Jena

University Hospital Jena

Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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University Hospital Erlangen
Germany, Erlangen

University Hospital Erlangen

Overall rating9.1 / 10
According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
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Charite University Hospital Berlin
Germany, Berlin

Charite University Hospital Berlin

Overall rating9 / 10
According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
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University Hospital Muenster
Germany, Muenster

University Hospital Muenster

Overall rating9.8 / 10
According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
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University Hospital Bonn
Germany, Bonn

University Hospital Bonn

Overall rating9.2 / 10
According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
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University Hospital Halle (Saale)
Germany, Halle

University Hospital Halle (Saale)

Overall rating9.6 / 10
According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
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University Hospital Tuebingen
Germany, Tuebingen

University Hospital Tuebingen

Overall rating9.2 / 10
According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
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University Hospital Duesseldorf
Germany, Duesseldorf

University Hospital Duesseldorf

Overall rating9.5 / 10
According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
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University Hospital Marburg UKGM
Germany, Marburg

University Hospital Marburg UKGM

Overall rating8.6 / 10
The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
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University Hospital Rechts der Isar Munich
Germany, Munich

University Hospital Rechts der Isar Munich

Overall rating9.8 / 10
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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University Hospital Heidelberg
Germany, Heidelberg

University Hospital Heidelberg

Overall rating9.8 / 10
According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
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| from Booking Health GmbH

Sialolithiasis (salivary stones) is the formation of stones in the large salivary glands. Up to 85% of stones develop in the submandibular gland, as it discharges a more viscous secret. About 15% of stones develop in the parotid gland.

The disease does not cause any symptoms for a long time, but duct obstruction with stones causes swelling, pain, and dry mouth. Sialolithiasis can be complicated by an abscess, the formation of a purulent cavity in the salivary gland due to a bacterial infection.

Treatment of salivary stone in Germany can be carried out with the use of surgical, percutaneous, and endoscopic methods. Most stones can be removed through the mouth. In 95% of cases, treatment in clinics in Germany is organ-preserving, while in countries with poor medicine, up to 50% of operations involve a resection (a partial removal) or an extirpation (a complete removal) of the salivary gland.

Content

  1. Conservative therapy
  2. Treatment of submandibular gland stones
  3. Treatment of parotid gland stones
Stones can usually be removed with the help of an endoscopic procedure or through a small incision in the mouth. They are crushed by the contact method. Less often, doctors have to resort to extracorporeal shock wave lithotripsy. In developed countries, up to 95% of operations and procedures are organ-preserving, including those for multiple stones. Only in 5% of cases is it necessary to remove a part of the salivary gland.

You can undergo your treatment in one of the following hospitals: University Hospital of Ludwig Maximilian University of Munich, University Hospital Ulm, or University Hospital Frankfurt am Main.

Booking Health will arrange your trip to Germany. The company's medical advisors will recommend a treatment method and a clinic specializing in it. The company's managers will take care of a quick appointment at the clinic, help you to apply for a visa, book airline tickets and accommodation, provide interpreting services, help you with the translation of medical records, provide insurance, and control the cost of medical services to avoid overpayments.

Conservative therapy

 

Conservative therapy is aimed at combating symptoms and complications. In most cases, this treatment option does not allow doctors to remove stones.

Nonsteroidal anti-inflammatory drugs are prescribed to relieve pain. A massage helps to reduce swelling. A bacterial infection is treated with antibiotic therapy.

Treatment of submandibular gland stones

 

During an interventional sialendoscopy, small floating stones (up to 5 mm) in the distal and middle duct can be removed endoscopically, using forceps or a basket.

Since the duct orifice is narrow, a dissection of the papilla is usually required. This procedure is called a mini-papillotomy. A doctor makes a small incision in the orifice. In general, stones of any size, including those that are impacted (fixed), can be removed during transoral surgery.

Stone fragmentation is rarely required. Indications are limited mouth opening, masticatory muscle spasm, gag reflex, and a patient's desire to remove stones under local anesthesia to avoid general anesthesia. In this case, contact lithotripsy or stone fragmentation with microdrills is performed.

Stones in the proximal part of the root duct up to 5 mm in size are also removed endoscopically. Stones up to 10 mm in size are removed using transoral surgery. They can also be removed endoscopically after their fragmentation with an electrohydraulic or laser lithotripter. Doctors prefer this procedure for large and impacted stones to reduce surgical trauma. It is carried out if the stone is located at a depth of up to 7 cm.

If stones are inaccessible for contact lithotripsy, doctors perform extracorporeal (distant) shock wave lithotripsy. After this procedure, the stones become fragmented, smaller and more accessible for their extraction with surgeries and endoscopic procedures.

The stones in gland parenchyma account for up to 10% of cases. They can sometimes be removed endoscopically at a size of up to 5 mm. If a patient has large stones with a size of more than 1 cm, an opening of the submandibular gland through the oral cavity must be performed.

Treatment of parotid gland stones

 

Stones 3-5 mm in size can be removed endoscopically, using a basket or forceps. Endoscopic mobilization or fragmentation is indicated when the stone size is 5-7 mm. If they are not very dense, the stones can be crushed with a micro-drill. A stent can sometimes be implanted inside the duct to avoid any obstruction in the future and to ensure the passage of stones.

If stones cannot be removed with endoscopic techniques, doctors use a percutaneous method. Calculi are removed through a skin puncture under endoscopic guidance.

Transoral surgery used to be considered the method of first choice, but is now almost never used in developed countries. This surgery increases a risk of stenosis, parotid duct obstruction. Sometimes doctors perform a mini-papillotomy if stones or their fragments were successfully captured during an interventional sialendoscopy, but the duct orifice was insufficient to remove them.

Stones in the middle or proximal duct and hilar region are removed with endoscopic techniques, and if this is not possible, a combination of percutaneous and endoscopic methods is used. Occasionally, it is necessary to resort to extracorporeal stone fragmentation. In complex cases, treatment is carried out under ultrasound guidance.

Up to 20% of stones develop in the gland parenchyma. In such cases, treatment is carried out using extracorporeal shock wave lithotripsy. Only a small number of these stones are available for endoscopic removal. However, an endoscopic procedure can be performed after lithotripsy.

You can contact one of the clinics in Germany to undergo your diagnostics, treatment, and rehabilitation for salivary stones with a minimally traumatic method, with the preservation of the gland tissue, and a short rehabilitation period. On the Booking Health website, you can find prices and make an appointment at a hospital at a favorable cost. We will help you to find the best medical center and arrange your trip.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Farrukh Ahmed. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

Verywell Health

Mayo Clinic

Science Direct