Endoscopic-Assisted Gland-Preserving Therapy for Chronic Sialadenitis&lt;subtitle&gt;A German and US Comparison&lt;/subtitle&gt;

Gillespie, M. Boyd; Koch, Michael; Iro, Heinrich; Zenk, Johannes

doi:10.1001/archoto.2011.130

Cited by 19 publications

(17 citation statements)

References 15 publications

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“…Thus, all cases of interventional sialendoscopy by the first author have been performed with general nasotracheal anesthesia. Gillespie et al20 described that a failed sialendoscopic or transoral approach can be converted to an immediate transcervical approach, precluding multiple procedures, transitioned more readily with the use of general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive options for salivary calculi

et al. 2012

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The aim of this study was to review the advantages, limitations, and international interdisciplinary expert perspectives and contrasts of salivary gland endoscopy and transoral techniques in the diagnosis and management of salivary gland calculi and their adaptation in North America. The transition from transcervical approaches to strictly sialendoscopic approaches is a broad chasm and often not feasible. Sialendoscopy, sialendoscopy-assisted, intraoral, and transcervical approaches all have surgical value. Diagnostic sialendoscopy, interventional sialendoscopy, sialendoscopy-assisted, and transoral techniques have been a major step forward, not only in providing an accurate means of diagnosing and locating intraductal obstructions, but also in permitting minimally invasive surgical treatment that can successfully manage blockages precluding sialoadenectomy in most cases. A flexible methodology is required. Multiple or combined measured may prove effective.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive options for salivary calculi

et al. 2012

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“…The submandibular glands (SMGs) are the most frequently affected (80-90%) 3 because of the narrow opening of Wharton's duct, its ascendant course and length, and the mainly mucous composition of saliva 4 , and the most frequent locations of SMG stones are the distal tract of the duct and hilum (pure intraparenchymal stones account for < 10%) 5 . Typical symptoms are recurrent swelling and pain at mealtimes.…”

Section: Introductionmentioning

confidence: 99%

Sialendoscope-assisted transoral removal of hilo-parenchymal sub-mandibular stones: surgical results and subjective scores

Capaccio

Gaffuri

Rossi

et al. 2017

Acta Otorhinolaryngol Ital

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Come si evince dallanalisi della letteratura, lapproccio transorale ai calcoli prossimali e ilo-parenchimali della ghiandola sottomandibolare rappresenta una valida alternativa alla scialoadenectomia tradizionale. Lo scopo di questo studio è quello di valutare i risultati chirurgici, ecografici e soggettivi di questa tecnica conservativa. Tra Gennaio 2003 e Settembre 2015 sono stati trattati con lapproccio transorale scialoendoscopico-assistito 479 pazienti affetti da calcoli ilo-parenchimali sottomandibolari palpabili, non mobili, di dimensioni superiori ai 7 mm. Tutti i pazienti sono stati sottoposti ad un follow-up clinico, ecografico e ad una valutazione soggettiva delloutcome chirurgico per mezzo di un apposito questionario somministrato attraverso unintervista telefonica. Il successo chirurgico definito come completa asportazione del calcolo ilo-parenchimale è stato ottenuto in 472 pazienti (98.5%); in sette casi (1.5%) si è verificato un insuccesso chirurgico, riguardante esclusivamente calcoli parenchimali puri. Un anno dopo lintervento chirurgico, 408 pazienti (85.1%) non riferivano più sintomi ostruttivi, 59 pazienti (12.3%) riferivano sintomi ostruttivi ricorrenti e 12 (2.6%) infezioni ricorrenti. Dei 54 pazienti (11.2%) affetti da litiasi sottomandibolare ricorrente, 52 sono stati sottoposti ad una seconda procedura terapeutica, nello specifico in 29 casi a scialoendoscopia, in 2 casi a litotrissia pneumatica intracorporea, in 8 casi a chirurgia transorale, in 6 casi ad un ciclo di litotrissia extracorporea, in 7 casi a scialoadenectomia sottomandibolare. La maggior parte dei pazienti (75.2%) ha riferito un dolore post-chirurgico di grado lieve. Al termine del follow-up, i sintomi riferiti da 454 pazienti (94.8%) erano migliorati dopo il secondo trattamento e la ghiandola sottomandibolare affetta era stata preservata nel 98.5% dei casi. La chirurgia transorale scialoendoscopico-assistita dei calcoli ilo-parenchimali della ghiandola sottomandibolare rappresenta unopzione terapeutica sicura, efficace e conservativa e la preservazione del dotto e del parenchima ghiandolare permette di esplorare il sistema duttale attraverso lostio naturale in caso di ricorrenza della patologia. Lutilizzo combinato dellapproccio transorale e delle altre tecniche mini-invasive permette di trattare con successo la maggior parte dei pazienti affetti da litiasi ilo-parenchimale sottomandibolare.

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“…All of these patients were preoperativel examined on ultrasound to exclude salivary gland tumor. The 2 inclusion criteria were: (a) recurrent episodes of swelling or pain in a major salivary gland (sialadenitis) associated with obstructive duct condition that was refractory to conservative therapy, and (b) a duct system showing signs of inflammation (sialodochitis), i.e., ductal edema, erythema, increased vascularity, or inflammatory exudates and mucous plugs [12]. Some patients with a chronic duct inflammation show single or multiple diaphragm-like strictures.…”

Section: Methodsmentioning

confidence: 99%

The Positive Effect of Sialendoscopy with Irrigation Lavage for Sialadenitis without Sialolithiasis or Stenosis

Schwarz¹,

Stuermer²,

Lüers³

2018

ORL

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Aims: The aim of the study was to evaluate different irrigation solutions during sialendoscopy to reduce complaints caused by sialodochitis. Methods: The investigators designed and implemented a retrospective study composed of 94 patients with sialodochitis but no sialolithiasis or relevant stenosis of the salivary duct system. Three different irrigations (normal saline, cortisone single-shot, and cortisone) were used. After the sialendoscopy, the patients were asked about the current status of the affected salivary gland, and the quantity and quality of the gland swelling/inflammation over a follow-up period of 11.6 months (6–24 months). Results: At the time of follow-up, 41 patients (43.6%) no longer had any complaints with the salivary gland in question. In 75.5% of the patients, a satisfying result was achieved. In total, only 3 patients needed submandibulectomy in the course of the study due to persistent complaints. The outcome showed no statistical differences between the mean of the 3 groups (p = 0.149). Conclusion: Sialendoscopy with flushing/lavage seems to be a good treatment option for patients with sialodochitis lacking sialolithiasis. The results of this study suggest that the type of irrigation used during sialendoscopy seems to be secondary.

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Endoscopic-Assisted Gland-Preserving Therapy for Chronic Sialadenitis<subtitle>A German and US Comparison</subtitle>

Cited by 19 publications

References 15 publications

Minimally invasive options for salivary calculi

Minimally invasive options for salivary calculi

Sialendoscope-assisted transoral removal of hilo-parenchymal sub-mandibular stones: surgical results and subjective scores

The Positive Effect of Sialendoscopy with Irrigation Lavage for Sialadenitis without Sialolithiasis or Stenosis

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