Endoscopic management of salivary gland obstructive diseases in patients with Sjögren's syndrome

Sialendoscopy for salivary stones: principles, technical skills and therapeutic experience

“…Sialendoscopy alone or with mucous plug removal, is generally enough to resolve juvenile recurrent parotitis, as observed in the literature and in our series (5 cases) 28 29 . Symptoms of chronic sialadenitis, Sjögren's syndrome and radiation-induced sialadenitis (either after external radiation therapy or as a sequela of radioactive iodine treatment for thyroid carcinoma) are generally improved through washing and dilatation 30 31 .…”

One‐year outcomes of sialendoscopic‐assisted salivary duct surgery for sialadenitis without sialolithiasis

“…In this study, we present a prospective analysis of etiology‐specific responses to SASDS in patients with COSWS using the COSS questionnaire. Previous studies have shown that symptomatic response to SASDS varies in an etiology‐dependent manner, most likely reflecting different drivers of inflammation and obstruction in chronic sialadenitis . Although evidence for efficacy of SASDS in the treatment of sialolithiasis is robust, the limited power and generalizability of SASDS outcomes for COSWS can be attributed to predominantly retrospective design of most published studies, small sample sizes given the rare incidence of COSWS, short duration of postoperative follow‐up, and heterogeneous cohorts with an emphasis on sialolith‐based disorders.…”

“…The efficacy of sialendoscopy‐assisted salivary duct surgery (SASDS) in treating chronic obstructive sialadenitis due to sialolithiasis has been well documented . The role of SASDS in the treatment of COSWS due to stenosis, inflammation from autoimmune disease, and radioactive iodine‐induced sialadenitis (RAI‐IS) has been previously explored, although primarily through retrospective analyses . Recently, our group used the 20‐item Chronic Obstructive Sialadenitis Symptoms (COSS) Questionnaire to quantify short‐term (3‐month) symptom improvements in patients with COSWS, showing at least partial symptom alleviation in a majority of patients with stenoses and RAI‐IS .…”

Sialendoscopic management of autoimmune sialadenitis: a review of literature

“…However, stricture formation was found to be the major cause of ductal obstruction by other authors. Jager, et al and De Luca, et al reported the presence of stricture in the majority of salivary glands affected by SS explored in their study 27 28 . Microlithiasis, related to the subsequent inflammatory episodes 29 , is observed mainly in the advanced stages of the disease in which the fibrous replaced and subverted the entire gland.…”

“…On the other hand, the use of interventional sialendoscope with working channels allows the concomitant treatment of strictures, mucus plugs and sialoliths, contributing to alleviate complaints in patients affected by inflammatory disease 24 43 - 45 . Recent clinical experience suggested that sialendoscopy may alleviate the oral symptoms of SS by restoring salivary function 25 - 28 . Jager, et al conducted a randomised study of 20 patients with SS oral symptoms who were randomly assigned to the nonintervention control group or to the sialendoscopy group.…”