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

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.