Journals / Turkish archives of otorhinolaryngology / 2019 / Cilt: 57 - Sayı: 2

Long-Term Outcomes of Sialendoscopy in the Management of Sialolithiasis and Idiopathic Chronic Sialadenitis with Ductal Scars

Pages
75–80
DOI
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The final success rate was70%.Conclusion: Sialendoscopy is a minimally invasivemethod for the diagnosis and treatment of sialolithiasis and ductal scars of the salivary glands after failureof conservative treatments in adults.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: We aimed to present the long-term outcomes and sialendoscopic findings in only patientswith sialolithiasis and ductal scars in idiopathicchronic recurrent sialadenitis who experienced unsuccessful results with conservative treatment and weretreated with sialendoscopy.Methods: We retrospectively analyzed the patientswith a diagnosis of only sialolithiasis and ductalscars in chronic recurrent sialadenitis who underwent sialendoscopy between January 2011 and June2016.
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Key Findings & Data:We collected clinical and intraoperative dataincluding patient age, sex, date of the procedure, theinvolved gland, operative findings and complications.Follow-up data included whether the symptoms wereresolved or recurred and whether any further procedures were performed.Results: Of a total of 38 patients, 16 were excludedfrom the study due to missing clinical or follow-updata, and analysis was conducted on 22 patients.Twelve were diagnosed with sialolithiasis, while theremaining 10 were diagnosed with idiopathic chronicsialadenitis and had ductal scars.
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Conclusion & Impact:The final success rate was70%.Conclusion: Sialendoscopy is a minimally invasivemethod for the diagnosis and treatment of sialolithiasis and ductal scars of the salivary glands after failureof conservative treatments in adults.
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Özet

Objective: We aimed to present the long-term outcomes and sialendoscopic findings in only patientswith sialolithiasis and ductal scars in idiopathicchronic recurrent sialadenitis who experienced unsuccessful results with conservative treatment and weretreated with sialendoscopy.Methods: We retrospectively analyzed the patientswith a diagnosis of only sialolithiasis and ductalscars in chronic recurrent sialadenitis who underwent sialendoscopy between January 2011 and June2016. We collected clinical and intraoperative dataincluding patient age, sex, date of the procedure, theinvolved gland, operative findings and complications.Follow-up data included whether the symptoms wereresolved or recurred and whether any further procedures were performed.Results: Of a total of 38 patients, 16 were excludedfrom the study due to missing clinical or follow-updata, and analysis was conducted on 22 patients.Twelve were diagnosed with sialolithiasis, while theremaining 10 were diagnosed with idiopathic chronicsialadenitis and had ductal scars. Stone sizes rangedfrom 2 mm to 10 mm. Mean follow-up time was 39.5months. The final success rate was 100%. Of the 10patients with ductal scarring, five had scar in the parotid gland duct, and five in the submandibular glandduct. The mean follow-up time of all ductal scar patients was 47.1 months. The final success rate was70%.Conclusion: Sialendoscopy is a minimally invasivemethod for the diagnosis and treatment of sialolithiasis and ductal scars of the salivary glands after failureof conservative treatments in adults.

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Cite This Article

ERKUL, B. E., ÇEKİN, İ. E., GÜNGÖR, A. (2019). Long-Term Outcomes of Sialendoscopy in the Management of Sialolithiasis and Idiopathic Chronic Sialadenitis with Ductal Scars. Turkish archives of otorhinolaryngology, Cilt: 57 - Sayı: 2, 75–80. https://ajindex.com/articles/368927

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References (15)

  1. Lydiatt DD, Bucher GS. The historical evolution of the understanding of the submandibular and sublingual salivary glands. Clin Anat 2012
  2. [CrossRef] 2. Nahlieli O, Nakar LH, Nazarian Y, Turner MD. Sialoendoscopy: A new approach to salivary gland obstructive pathology. J Am Dent Assoc 2006
  3. [CrossRef] 3. Nahlieli O. Advanced sialoendoscopy techniques, rare findings, and complications. Otolaryngol Clin North Am 2009
  4. [CrossRef] 4. Geisthoff UW. Basic sialendoscopy techniques. Otolaryngol Clin North Am 2009
  5. [CrossRef] 5. Strychowsky JE, Sommer DD, Gupta MK, Cohen N, Nahlieli O. Sialendoscopy for the management of obstructive salivary gland disease: A systematic review and meta-analysis. Arch Otolaryngol Head Neck Surg 2012
  6. [CrossRef] 6. Atienza G, López-Cedrún JL. Management of obstructive salivary disorders by sialendoscopy: a systematic review. Br J Oral Maxillofac Surg 2015
  7. [CrossRef] 7. Erkul E, Gillespie MB. Sialendoscopy for non-stone disorders: The current evidence. Laryngoscope Investig Otolaryngol 2016
  8. [CrossRef] 8. Nahlieli O. Complications of sialendoscopy: Personal experience, literature analysis, and suggestions. J Oral Maxillofac Surg 2015
  9. [CrossRef] 9. Rasmussen ER, Lykke E, Wagner N, Nielsen T, Waersted S, Arndal H. The introduction of sialendoscopy has significantly contributed to a decreased number of excised salivary glands in Denmark. Eur Arch Otorhinolaryngol 2016
  10. [CrossRef] 10. Maresh A, Kutler DI, Kacker A. Sialoendoscopy in the diagnosis and management of obstructive sialadenitis. Laryngoscope 2011
  11. [CrossRef] 11. Gillespie MB, O'Connell BP, Rawl JW, McLaughlin CW, Carroll WW, Nguyen SA. Clinical and quality-of-life outcomes following gland-preserving surgery for chronic sialadenitis. Laryngoscope 2015
  12. [CrossRef] 12. Serbetci E, Sengor GA. Sialendoscopy: Experience with the first 60 glands in Turkey and a literature review. Ann Otol Rhinol Laryngol 2010
  13. [CrossRef] 13. Pace CG, Hwang KG, Papadaki M, Troulis MJ. Interventional sialoendoscopy for treatment of obstructive sialadenitis. J Oral Maxillofac Surg 2014
  14. [CrossRef] 14. Schwartz N, Hazkani I, Goshen S. Combined approach sialendoscopy for management of submandibular gland sialolithiasis. Am J Otolaryngol 2015
  15. [CrossRef] 15. Gillespie MB, Intaphan J, Nguyen SA. Endoscopic-assisted management of chro