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- Title
Diagnostic and interventional sialendoscopy: A preliminary experience.
- Authors
Bowen, Matthew A.; Tauzin, Marcie; Kluka, Evelyn A.; Nuss, Daniel W.; DiLeo, Michael; McWhorter, Andrew J.; Schaitkin, Barry; Walvekar, Rohan R.
- Abstract
Objectives/Hypothesis: To review our preliminary experience with diagnostic and therapeutic sialendoscopy for the management of non-neoplastic disorders of the salivary gland. Study Design: Retrospective chart review. Methods: Thirty-three consecutive patients undergoing 36 sialendoscopy procedures performed at a tertiary medical center from July 2008 to July 2010 were included. Results: The mean age of presentation was 43 years (range, 7-74 years), and 61% of patients were male. Indications included sialolithiasis (47%; 17 of 36), recurrent sialadenitis (44%, 16 of 36), and Sjögren's syndrome (8%; three of 36). Successful endoscopy was performed in 97% (35 of 36). A papillotomy for access was necessary in 25% (nine of 36). In patients with sialolithiasis (n = 17), the mean size of the stones was 7.3 mm (range, 1-20 mm). Complete stone removal was achieved in 76% (13 of 17) of cases. Endoscopic stone removal was possible in 29% (five of 17), and a combined approach technique was required in 47% (eight of 17). Seventy-two percent (26 of 36) of patients had complete resolution of symptoms after sialendoscopy, with 19% (seven of 36) having partial resolution of symptoms. Patients with partial improvement of symptoms had a mean duration of improvement of 4.7 months. The overall complication rate was 22% (eight of 36). The major and minor complication rates were 3% (one of 36) and 19% (seven of 36), respectively. Conclusions: Sialendoscopy is safe and effective in managing non-neoplastic salivary gland disorders with low rates of major complications. Knowledge of options to navigate the rate-limiting steps, like dilation of the papilla and careful case selection, are key to successful outcomes.
- Subjects
CALCULI; SURGERY; SALIVARY gland diseases; ENDOSCOPIC surgery; SURGICAL complications; PAPILLARY carcinoma; THERAPEUTICS
- Publication
Laryngoscope, 2011, Vol 121, Issue 2, p299
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.21390