Endoscopy: a minimally invasive procedure for diagnosis and treatment of diseases of the salivary glands

Ziegler, C.; Steveling, H.; Seubert, M; Mühling, J.

doi:10.1016/s0266-4356(03)00188-8

Cited by 66 publications

(56 citation statements)

References 15 publications

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“…Furthermore it is a time consuming procedure as 4-8 sessions of about 30 minutes each are needed [4][5][6]. Interventional sialendoscopy (IV) has been developed over the last decades, and it allows removal of stones up to 5 mm by suction, basket, balloon, grasper or miniforceps with and without fragmentation [7][8][9][10][11][12][13]. External removal (V) by small incisions is rarely indicated and holds the risk of facial nerve palsy, bleeding, reduced skin sensitivity or scar formation.…”

Section: Introductionmentioning

confidence: 99%

Laser induced fragmentation of salivary stones: An in vitro comparison of two different, clinically approved laser systems

et al. 2008

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This study clearly demonstrated the different processes of destroying salivary stones using two different laser systems. While the Ho:YAG vaporises the calculi in a more milling and soft sense, the FREDDY shows a more cracking and explosive destruction. Although both laser systems showed little direct risk to the surrounding tissue, it has to be proven whether cracked and accelerated particles could cause harm to soft tissue. With respect to this, further in vitro studies and clinical treatments in selected cases are needed to proof these results.

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Section: Introductionmentioning

confidence: 99%

Laser induced fragmentation of salivary stones: An in vitro comparison of two different, clinically approved laser systems

et al. 2008

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“…Interestingly, Sunitha et al (25) retrospectively reviewed symptomatic patients who had undergone sialadenectomy; sialendoscopy performed on those patients revealed residual calculi in the duct and stricture. Since none of our patients among the sialadenectomy group were symptomatic in terms of pain, ranula, or Frey's syndrome, they were not further evaluated (Table 1) (26). Although all the patients in our sialadenectomy group sustained a postoperative scar and contour disparity, the cosmetic factor was not considered, since we found this to be very subjective.…”

Section: Discussionmentioning

confidence: 99%

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

Faizal

Gangadharan

Thankappan

2017

MJMS

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Background: Sialendoscopy is gaining in popularity in treating calculus disease. The delicacy of the instrument and the diameter of the salivary ducts are factors that limit the ability to achieve complete success. There is also continued speculation regarding the utility of the procedure, especially among clinicians who are masters of conventional methods like sialadenectomy and sialodochotomy.Objective: To assess the efficacy of sialendoscopy over conventional methods in treating sialolithiasis.Methods: A prospective case control study was conducted in a tertiary care centre; this study involved 50 patients of sialolithiasis, and it extended over a 36-month period. All had undergone treatment, either by conventional methods or interventional sialendoscopy. All patients with nonpalpable calculi smaller than 6 mm underwent interventional sialendoscopy. Failed sialendoscopies and larger nonpalpable calculi were removed through sialadenectomy. The outcome variables studied included calculus removal, postoperative symptoms, and gland preservation.Results: The success rate in terms of calculus removal by sialendoscopy was 88%, versus 100% by sialadenectomy. The salivary gland was preserved in 88% of the cases in the sialendoscopy group. Only 12% of patients were symptomatic.Conclusion: Sialendoscopy was effective in removing calculi of various sizes; it was definitely superior to conventional methods. Sialadenectomy should be reserved for cases either not suitable for sialendoscopy or in which there was an intervention failure.

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“…Except for these nine patients, for whom our interventions were unsuccessful, all other patients had significant improvement. The reported procedural success (resolution of obstruction) reported in the literature ranges from 82% -87% [14] [15].…”

Section: Discussionmentioning

confidence: 99%

Sialendoscopy: A Review of 133 Cases

Deenadayal¹,

Bommakanti²

2016

IJOHNS

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Objective: The aim is to review the effectiveness of sialendoscopy in treating various salivary gland disorders related to the duct. Methods: A total of 133 patients who underwent sialendoscopy were included in this study. Data was collected from case records of patients and was analysed. A detailed history examination was taken and the operative findings were analysed. Causes of obstructive sialadenitis were evaluated and treated. Results: A total of 159 glands were subjected to sialendoscopy and pathology was identified in 149 glands. Forty one submandibular glands had calculi and twelve had non-calcular obstruction. Fifteen parotid glands had calculi and 81 had non-calcular obstruction, of which stricture was the most common. Calculi retrieval or dilation of stricture was achieved with a sialendoscope in 112 glands. In 23 patients, the calculi were retrieved by combined approach. In three patients, the calculi were fragmented with intra luminal Holmium laser and the fragments were removed. All these patients had a good relief from their symptoms. Duct perforation was seen in two patients and a false passage was formed in one. Conclusion: Sialendoscopy was a safe and effective procedure for managing ductal pathologies of salivary glands.

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Endoscopy: a minimally invasive procedure for diagnosis and treatment of diseases of the salivary glands

Cited by 66 publications

References 15 publications

Laser induced fragmentation of salivary stones: An in vitro comparison of two different, clinically approved laser systems

Laser induced fragmentation of salivary stones: An in vitro comparison of two different, clinically approved laser systems

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

Sialendoscopy: A Review of 133 Cases

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