Sialendoscopy: A new diagnostic and therapeutic tool

Meyer, A.; Delas, B.; Hibon, R.; Faure, Frédéric; Dehesdin, D.; Choussy, O.

doi:10.1016/j.anorl.2012.02.010

Cited by 16 publications

(4 citation statements)

References 15 publications

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“…With recent technological advances of sialendoscopic procedures, sialendoscopy is now suggested as the first‐line therapy for patients with salivary duct stenosis . Sialendoscopy facilitates diagnostic and therapeutic procedures for managing duct stenosis of SGs with minimal invasiveness and is useful for assessing the causes of obstruction of SG ducts . Successful treatment for salivary stenosis using sialendoscopy has been documented in many studies .…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes and prognostic factors of sialendoscopy in salivary duct stenosis

Choi

Kim

et al. 2017

The Laryngoscope

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Section: Introductionmentioning

confidence: 99%

Clinical outcomes and prognostic factors of sialendoscopy in salivary duct stenosis

Choi

Kim

et al. 2017

The Laryngoscope

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“…According to the literature, sialendoscopy is an effective procedure in 79-86.4% of cases 42 43 . Adverse events after sialendoscopy are unusual and not severe 10 .…”

Section: Discussionmentioning

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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“…A retrospective study conducted by Meyer et al (14) in France showed that surgeon experience reduced the failure rate and operating time associated with sialendoscopy. We too observed such a learning curve.…”

Section: Discussionmentioning

confidence: 99%

“…The site, mobility of calculus and its mode of removal by basket, forceps, or laser were contemplated during diagnostic endoscopy. The primary duct, hilar area, and secondary ducts and further were checked, if possible (13,14,15). Depending on the patient age and the duct size, an interventional scope was selected (Karl Storz, 11577 KE/11576 KF).…”

Section: Methodsmentioning

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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Sialendoscopy: A new diagnostic and therapeutic tool

Abstract: Sialendoscopy is a safe technique that can easily be learned by surgeons familiar with endoscopic surgery. However, practical experience is needed to reduce operating times, lower failure rates and determine its precise indications.

Cited by 16 publications

References 15 publications

Clinical outcomes and prognostic factors of sialendoscopy in salivary duct stenosis

Clinical outcomes and prognostic factors of sialendoscopy in salivary duct stenosis

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

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

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