Sialendoscopy‐assisted surgery and the chronic obstructive sialadenitis symptoms questionnaire: A prospective study

Aubin-Pouliot, Annick; Delagnes, Elise A.; Chang, Jolie L.; Ryan, William R.

doi:10.1002/lary.25759

Cited by 41 publications

(78 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nonspecific data and/or a lack of data in most publications make precise analysis and assessment of the value of sialendoscopy-guided therapy difficult. Overall success rates of the procedures were in the range of 80-100%; complete resolution of symptoms was achieved in 50-80% and gland preservation in 90-100% of cases 1 5 9 10 14 49 53 54 56 58 .…”

Section: Treatmentmentioning

confidence: 96%

“…Irrigation with cortisone is reported in nearly all publications; the instruments used are the sialendoscope itself, microdrills, baskets, various dilators, graspers and balloons. Stents were implanted in 10-100% of cases described 1 9 14 49 53 54 56 58 .…”

Section: Treatmentmentioning

confidence: 99%

“…In addition, detailed data regarding the nature of the stenosis, the success rates of the procedures and follow-up data specific for the gland are not provided. The success rates of procedures were over 80-100%, with complete success reported in 70-90% and gland preservation in 90-100% 1 3 9 13 14 38 49 51 - 56 78 .…”

Section: Treatmentmentioning

confidence: 99%

“…The only publication describing patient acceptance after treatment for salivary duct stenoses was mentioned earlier 40 . Several authors assessed patient satisfaction after sialendoscopic controlled therapy of obstructive sialadenitis, not exclusively including patients with duct stenosis 53 55 56 88 . Kroll et al, using the Short Form 36 (SF-36) questionnaire, found a high level of patient satisfaction 53 .…”

Section: Treatmentmentioning

confidence: 99%

See 3 more Smart Citations

Salivary duct stenosis: diagnosis and treatment

Koch

Iro

2017

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

La gestione delle stenosi delle ghiandole salivari maggiori ha subito un cambiamento significativo nel corso degli ultimi 15-20 anni. Lelemento fondamentale che sta alla base di una scelta terapeutica minimamente invasiva è rappresentato da unaccurata diagnosi. La scialografia convenzionale e la scialo-RM possono essere utili strumenti per la diagnosi delle stenosi salivare, senza dimenticare il ruolo basilare e centrale dellecografia qualora si sospetti che un processo stenotico a carico dei dotti salivari sia la causa dellostruzione. Tuttavia, ad oggi, la scialoendoscopia rappresenta la scelta diagnostica migliore, permettendo una corretta pianificazione terapeutica attraverso una quanto più precisa caratterizzazione della stenosi. Sia a livello sottomandibolare che parotideo è possibile distinguere le stenosi infiammatorie da quelle secondarie a processi fibrotici e, inoltre, a carico dei dotti salivari parotidei è stata descritta una stenosi associata a varie anomalie del sistema duttale. Nella maggior parte dei casi la sola terapia conservativa non è sufficiente per la risoluzione della sintomatologia ostruttiva, tuttavia lo sviluppo di trattamenti minimamente invasivi, prima fra tutte la scialoendoscopia, ha permesso di ottenere un tasso di conservazione della funzione ghiandolare di oltre il 90% dei casi. Se a livello sottomandibolare la principale misura terapeutica nella gestione delle stenosi del dotto ghiandolare rimane lincisione duttale (eccezion fatta per il crescente ruolo della scialoendoscopia nelle stenosi centrali), viceversa a livello del dotto parotideo la stenosi viene preminentemente gestita mediante la scialoendoscopia. Va comunque sottolineato che nel 10-15% dei casi il successo terapeutico viene ottenuto attraverso un trattamento di tipo combinato. La seguente review si propone di fornire una panoramica circa lepidemiologia, la diagnostica e lattuale stato dellarte del trattamento delle stenosi salivari.

show abstract

Section: Treatmentmentioning

confidence: 96%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

Salivary duct stenosis: diagnosis and treatment

Koch

Iro

2017

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

show abstract

“…For a better comparison of different types of irrigation, we advocate a prospective randomized, double-blind study using a sialadenitis symptoms questionnaire [19].…”

Section: Discussionmentioning

confidence: 99%

The Positive Effect of Sialendoscopy with Irrigation Lavage for Sialadenitis without Sialolithiasis or Stenosis

Schwarz¹,

Stuermer²,

Lüers³

2018

ORL

View full text Add to dashboard Cite

Aims: The aim of the study was to evaluate different irrigation solutions during sialendoscopy to reduce complaints caused by sialodochitis. Methods: The investigators designed and implemented a retrospective study composed of 94 patients with sialodochitis but no sialolithiasis or relevant stenosis of the salivary duct system. Three different irrigations (normal saline, cortisone single-shot, and cortisone) were used. After the sialendoscopy, the patients were asked about the current status of the affected salivary gland, and the quantity and quality of the gland swelling/inflammation over a follow-up period of 11.6 months (6–24 months). Results: At the time of follow-up, 41 patients (43.6%) no longer had any complaints with the salivary gland in question. In 75.5% of the patients, a satisfying result was achieved. In total, only 3 patients needed submandibulectomy in the course of the study due to persistent complaints. The outcome showed no statistical differences between the mean of the 3 groups (p = 0.149). Conclusion: Sialendoscopy with flushing/lavage seems to be a good treatment option for patients with sialodochitis lacking sialolithiasis. The results of this study suggest that the type of irrigation used during sialendoscopy seems to be secondary.

show abstract