Post-sialendoscopy ductoplasty by salivary duct stent placements

Su, Cheng‐Huang; Lee, Kuo Sheng; Tseng, Te Ming; Hung, Shih‐Han

doi:10.1007/s00405-015-3500-5

Cited by 18 publications

(14 citation statements)

References 14 publications

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“…Stents can be useful in the prevention of restenosis after the dilatation of ductal strictures or to avoid a papillary stenosis and secondary iatrogenic obstruction after papillotomy. Stent placements may also be helpful in the regeneration of ductal defects and in keeping a wide luminal diameter after the ductal walls are primarily closed from incision 17 .…”

Section: Methodsmentioning

confidence: 99%

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

Carta

Farneti

Cantore

et al. 2017

Acta Otorhinolaryngol Ital

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La scialoadenite cronica ostruttiva rappresenta una delle più frequenti patologie non-neoplastiche delle ghiandole salivari e la scialoendoscopia è sempre più utilizzata nella sua diagnosi e nel suo trattamento, associata o meno con la litotripsia laser. La scialoendoscopia può essere inoltre associata ad approcci esterni mini-invasivi nelle litiasi troppo voluminose per essere rimosse con un approccio unicamente endoscopico. Il presente articolo riporta lesperienza delle Cliniche Otorinolaringoiatriche dellOspedale SantOrsola-Malpighi di Bologna e dellAzienda Ospedaliero Universitaria di Cagliari, Italia. È stata eseguita unanalisi retrospettiva su 48 pazienti (26 femmine, 22 maschi; età media di 45,3 anni; range 8-83 anni) trattati per patologia cronica ostruttiva delle ghiandole salivari maggiori mediante procedure chirurgiche endoscopiche o combinate da novembre 2010 ad aprile 2016 presso lAzienda-Ospedaliero-Universitaria di Cagliari. I risultati dellOspedale SantOrsola-Malpighi di Bologna erano stati precedentemente pubblicati. Gli aspetti tecnici della scialoendoscopia sono stati accuratamente descritti. I pazienti trattati presso lAzienda Ospedaliero Universitaria di Cagliari presentavano una patologia unilaterale in 40 casi e bilaterale in 8 casi; sono state trattate 56 ghiandole salivari maggiori (22 sottomandibolari e 34 parotidi). 5 pazienti sono stati sottoposti a scialoendoscopia bilaterale per parotite ricorrente giovanile, 10 per patologia ostruttiva non litiasica e 33 (68,75%) presentavano calcoli salivari (1 paziente presentava una litiasi parotidea bilaterale). Solo 8 pazienti sono stati sottoposti a scialectomia radicale per via esterna (5 scialectomie sottomandibolare e 3 parotidectomie). La chirurgia conservativa nei pazienti con scialoadenite cronica ostruttiva appare efficace e può essere realizzata mediante un approccio puramente endoscopico o combinato, con unalta percentuale di successo. La procedura richiede una strumentazione adeguata e deve essere eseguita da un chirurgo esperto, che abbia svolto un training specifico scialoendoscopico, in modo da evitare le possibili complicanze maggiori e minori. La scialectomia tradizionale rappresenta la extrema ratio, limitata nei casi in cui un approccio conservativo sia risultato inefficace o controindicato.

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Section: Methodsmentioning

confidence: 99%

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

Carta

Farneti

Cantore

et al. 2017

Acta Otorhinolaryngol Ital

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“…For the stent placement, the hypospadias silastic stent tubes, pediatric feeding tubes and epidural catheter were used in many cases. [11,12] Many researchers reported different duration times for stent placement. [11] We used an intravenouos cannula for 3 days.…”

Section: )mentioning

confidence: 99%

“…[11,12] Many researchers reported different duration times for stent placement. [11] We used an intravenouos cannula for 3 days. At the 1 year follow-up of the cases, there were no complication and it was seen that the ducts' orifices were open and there were no abnormalities of the secretory functions.…”

Section: )mentioning

confidence: 99%

Giant Sialolith: Two cases of successful surgery

Özden¹,

Gurbanov²,

Yuceer³

et al. 2017

Azerbaijan Med Assoc J

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Sialolithiasis or salivary gland duct calculi are the most common pathologies of the salivary glands. They are the most general cause of acute and chronic infections of the major salivary glands. Salivary stones larger than 15 mm are classified as giant sialoliths. Two case reports describe giant sialoliths of submandibular salivary gland ducts. Also, a new method is used in these cases. It can prevent obstruction of the salivary gland ducts after the surgical removal of the stones.

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“…In cases where ductal stenosis has occurred, salivary duct stent placement appears to be one of the main treatment options (2,3). A previous study demonstrated that salivary duct stent placement using hypospadias silastic and pediatric feeding tubes (size 5-Fr) was successfully achieved and maintained for approximately two weeks before displacement (4). Although stenting is routinely used in clinical practice, a common limitation associated with ductal stents is the relatively short duration of stent implantation following surgery.…”

Section: Introductionmentioning

confidence: 99%

Development of a poly‑L‑lactide salivary duct stent

Ding

Tseng

et al. 2019

Exp Ther Med

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Obstructive salivary gland diseases are common conditions that arise following the disruption of the secretary ductal system and usually results in the swelling and pain of the affected gland(s). There has been an increase in the use of sialendoscopy for the treatment and diagnosis of obstructive salivary gland infection. If damage occurs to a duct or papilla following sialendoscopy, a stent may be necessary to prevent restenosis and for maintaining the salivary duct open after complete sialendoscopy. Currently, there are only non-biodegradable salivary duct stents available. The aim of the current study was to establish a methodology for the fabrication of a biodegradable poly-L-lactide (PLLA) salivary duct stent and to examine its function in an animal model. In the current study, PLLA was used to fabricate a salivary duct stent, which was compared with other commercially available non-biodegradable products. The mechanical tests revealed that the tensile strength of the PLLA stent was similar to that of the commercially available non-biodegradable stents. The Young's modulus, which measures the stiffness of a solid material, was significantly higher for the PLLA stent compared with the commercially available non-biodegradable stents. In addition, the current study demonstrated that the PLLA salivary duct stent was easily used with current sialendoscopy techniques, allowing accurate stent placement in an animal model.

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Post-sialendoscopy ductoplasty by salivary duct stent placements

Cited by 18 publications

References 14 publications

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

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

Giant Sialolith: Two cases of successful surgery

Development of a poly‑L‑lactide salivary duct stent

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