Long‐Term Experience With Endoscopic Diagnosis and Treatment of Salivary Gland Inflammatory Diseases

Nahlieli, Oded; Baruchin, A.M.

doi:10.1097/00005537-200006000-00020

Cited by 200 publications

(175 citation statements)

References 10 publications

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“…Various published reports [13] of minimally invasive techniques makes the time tested excision of salivary gland in glandular calculi unpopular. However, authors believe that surgical excision of the gland with the calculi is still the gold standard of treatment for intraglandular calculi with associated non-functional gland.…”

Section: Discussionmentioning

confidence: 99%

Deep and Unusual Sialolithiasis of Submandibular Duct and Gland: A Surgical Dilemma

Hazarika

Punnoose

Singh

et al. 2012

Indian J Otolaryngol Head Neck Surg

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Giant solitary submandibular duct calculus and multiple calculi of the gland are extremely rare. This occurrence along with more deep and proximally placed common calculi in submandibular gland may occasionally cause a dilemma in selection of the appropriate surgical approach in the present era of sialoendoscopic surgery. There is a high chance of fracture of the stone in a proximally placed stone in the gland followed by likely dissemination of fragments of the stone into the gland parenchyma during the procedure of sialoendoscopy which is a matter of grave concern. We authors believe that excision of the submandibular gland with the stone in such a situation should still be preferred as the gold standard of treatment leaving the ductal stone for endoscopic removal.

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Section: Discussionmentioning

confidence: 99%

Deep and Unusual Sialolithiasis of Submandibular Duct and Gland: A Surgical Dilemma

Hazarika

Punnoose

Singh

et al. 2012

Indian J Otolaryngol Head Neck Surg

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“…These include external or internal lithotripsy, laser fragmentation or microdrill [15,16]. The success rate for endoscopic sialolithotomy of larger stones without fragmentation was as low as 35 % [4,12].…”

Section: Discussionmentioning

confidence: 99%

“…In a retrospective study of 236 patients who were endoscopically treated for suspected salivary gland obstructive disease, Nahlieli and Baruchin [15] reported 83 % success rate. Marchal [18] attempted interventional sialendoscopy in 110 cases of submandibular sialolithiasis with a success rate of 82 %.…”

Section: Discussionmentioning

confidence: 99%

Interventional Sialendoscopy with Endoscopic Sialolith Removal Without Fragmentation

Dabirmoghaddam

Hosseinzadehnik

2012

Indian J Otolaryngol Head Neck Surg

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We performed a retrospective analysis to review the results and complications of sialendoscopy and to identify the overall success rate of mechanical stone retrieval without fragmentation in our patients with sialolithiasis. Between 2009 and 2011, 33 patients with sialolithiasis underwent interventional sialendoscopy. Patients with sialoliths larger than 7 mm in the Wharton's duct and 5 mm in the Stensen's duct or intraparenchymal stones were not included in this study. Grasping forceps, wire baskets and graspers was used for stone removal. The mean age at presentation was 41.7 (range, 29-62) years with a male to female ratio of approximately 1:2. The average size of the stones ranged from 2 to 6 mm. The overall success rate for endoscopic stone retrieval was 78 % (26 of 33) and three patients required a combined approach with intraoral incisions for stone removal. The major complication rate was 3 % (1 of 33) caused by submandibular duct perforation. The endoscopic retrieval of salivary stones is a safe and effective technique in selected cases. As instruments for stone fragmentation are expensive and not available everywhere, selecting patients with small and medium sized stones could lead to successful results in majority of cases.

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“…Las indicaciones son todas las inflamaciones de las glándulas salivales de origen desconocido 3,5,9 .…”

Section: Introductionunclassified

“…De acuerdo con datos publicados, los cálculos salivales se encuentran en un 80-90 % de los casos en la glándula submaxilar 5 . De forma y composición variable tienen una tasa de crecimiento de 1 mm por año.…”

Section: Introductionunclassified

Sialoendoscopia: una nueva alternativa en el tratamiento de la patología salival. Nuestra experiencia

Baptista¹,

Gimeno-Vilar²,

Rey-Martínez³

et al. 2008

Acta Otorrinolaringológica Española

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Objetivos: La sialoendoscopia es un procedimiento cuya finalidad es visualizar los conductos salivales y sus procesos patológicos. Se utiliza como método diagnóstico, para descartar procesos inflamatorios de las glándulas (sialoendoscopia diagnóstica) y para tratar áreas patológicas (estenosis, retirar cuerpos extraños o cálculos), mediante instrumental (sialoendoscopia intervencionista). Queremos mostrar la disminución de extirpación glandular. Pacientes y método: Se estudia a 8 pacientes intervenidos con sialoendoscopia. Resultados: En el 50 % se trataba de sialolitiasis y en el otro 50 %, de sialodenitis crónica. En las sialolitiasis la sialoendoscopia intervencionista permitió extraer el cálculo en 2 (50 %) casos. En el resto la sialoendoscopia permitió confirmar el diagnóstico en todos los casos. Conclusiones: La sialoendoscopia es un nueva técnica que nos permite diagnosticar, tratar y hacer un adecuado seguimiento de las sialodenitis, sialolitiasis y otras afecciones glandulares.Palabras clave: Sialoendoscopia. Sialolitiasis. Sialodenitis. Sialoendoscopy: A New Alternative for the Treatment of Salivary Pathology. Our ExperienceObjectives: Sialoendoscopy is a procedure used to visualize the salivary ducts and their pathology. It can be used either as a diagnostic method to rule out inflammatory processes in the parotid and submandibular glands (diagnostic sialoendoscopy) or to treat pathological areas (stenosis, extract foreign bodies or sialolithiasis) through the use of appropriate instruments (interventionist sialoendoscopy). We attempt to prove a declining rate of salivary gland excision. Patients and method: Sialoendoscopy was performed in 8 patients. Results: Of these, 50 % of patients were diagnosed as having sialolithiasis and the other 50 % had chronic sialoadenitis. In patients with sialolithiasis, sialoendoscopy allowed the extraction of the calculus in two patients (50 %). In the remainder, sialoendoscopy provided confirmation of the diagnosis in all cases. Conclusions: Sialoendoscopy is a new technique for use in the diagnosis, treatment and post-operative management of sialolithiasis, sialoadenitis and other salivary gland pathologies.

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Long‐Term Experience With Endoscopic Diagnosis and Treatment of Salivary Gland Inflammatory Diseases

Cited by 200 publications

References 10 publications

Deep and Unusual Sialolithiasis of Submandibular Duct and Gland: A Surgical Dilemma

Deep and Unusual Sialolithiasis of Submandibular Duct and Gland: A Surgical Dilemma

Interventional Sialendoscopy with Endoscopic Sialolith Removal Without Fragmentation

Sialoendoscopia: una nueva alternativa en el tratamiento de la patología salival. Nuestra experiencia

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