SIALENDOSCOPY. CLINICAL RESULTS
Authors:
Maria Papadaki
Affiliation:
Assistant Professor or Oral & Maxillofacial Surgery European University Cyprus, Nicosia, Cyprus
Doi: 10.54936/haoms242p25
ABSTRACT:
Objectives: TSialendoscopy is a minimally invasive technique, to explore the duct system and to treat obstructive salivary duct disease without incisions. The purpose of this case series study is to describe our clinical experience with endoscopic salivary duct exploration and stone removal as well as to estimate the long term success rate.
Materials and Methods: A retrospective study of patients with sialadenitis secondary to salivary duct obstruction was performed. Inclusion criteria were the use of sialendoscopy for the treatment of obstructive salivary gland disease of the parotid or the submandibular gland. Exclusion criteria included neoplasms, purulent infection, duct rupture, medical conditions contraindicated for general anesthesia. The procedure was performed under general anesthesia in all cases. Endoscopes of 1.3 and 1.1 mm in diameter were used.
Results: 240 patients were included in the study. Duct dilatation and navigation was accomplished in 221 patients through the duct orifice of the involved salivary gland. Sialoliths were visualized in 137 cases which were removed in 130 cases. Follow up ranged from 5 to 19 years. Rate of successful treatment of the inflammation and relief of symptoms was estimated at 90%.
Conclusions: The results of this case-series, demonstrate the feasibility of endoscopic access to the submandibular and parotid duct systems for management of sialolithiasis and strictures. This may become a commonly used approach if training and necessary equipment is widely provided.
KEY WORDS:
Authors:
Maria Papadaki
Affiliation:
Assistant Professor or Oral & Maxillofacial Surgery European University Cyprus, Nicosia, Cyprus
Doi: 10.54936/haoms242p25
ABSTRACT:
Objectives: TSialendoscopy is a minimally invasive technique, to explore the duct system and to treat obstructive salivary duct disease without incisions. The purpose of this case series study is to describe our clinical experience with endoscopic salivary duct exploration and stone removal as well as to estimate the long term success rate.
Materials and Methods: A retrospective study of patients with sialadenitis secondary to salivary duct obstruction was performed. Inclusion criteria were the use of sialendoscopy for the treatment of obstructive salivary gland disease of the parotid or the submandibular gland. Exclusion criteria included neoplasms, purulent infection, duct rupture, medical conditions contraindicated for general anesthesia. The procedure was performed under general anesthesia in all cases. Endoscopes of 1.3 and 1.1 mm in diameter were used.
Results: 240 patients were included in the study. Duct dilatation and navigation was accomplished in 221 patients through the duct orifice of the involved salivary gland. Sialoliths were visualized in 137 cases which were removed in 130 cases. Follow up ranged from 5 to 19 years. Rate of successful treatment of the inflammation and relief of symptoms was estimated at 90%.
Conclusions: The results of this case-series, demonstrate the feasibility of endoscopic access to the submandibular and parotid duct systems for management of sialolithiasis and strictures. This may become a commonly used approach if training and necessary equipment is widely provided.
KEY WORDS: