Sialendoscopy for non‐stone disorders: The current evidence

Erkul, Evren; Gillespie, M. Boyd

doi:10.1002/lio2.33

Cited by 42 publications

(24 citation statements)

References 48 publications

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“…The vast majority of studies on outcomes after sialendoscopy show good results for the treatment of ductal stenoses with short‐term success rates of up to 93.8% 19,22,24 . In this study—as has been reported by others ( 22,25 )—about 20% of the glands treated by sialendoscopy needed a revision procedure over time. Few publications have reported any detailed analysis of the cause for recurrence 13,26 …”

Section: Discussionsupporting

confidence: 75%

Do Postoperative Oral Corticosteroids Improve Results After Sialendoscopy for Ductal Stenosis?

et al. 2020

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Objectives This study aims to review the effects of short‐ and long‐term oral administration of postoperative corticosteroids in patients undergoing sialendoscopy for the treatment of obstructive sialadenitis due to ductal stenosis. Study Design Prospective comparative study. Methods A prospective observational study was conducted at Manukau Surgical Center in Auckland, New Zealand, where patients undergoing sialendoscopic surgery for recurrent obstructive sialadenitis due to ductal stenoses were reviewed. Univariable and multivariable analysis, and also logistic regression were performed to identify variables correlated with the likelihood of the need for revision surgery for persistent or recurrent symptoms. Results In this study, sialendoscopy was performed in 142 patients: 162 parotid glands (86.6%) and 25 submandibular glands (13.4%). Postoperative oral steroids were prescribed for 48 patients (34%); 19 (13%) were prescribed for less than 7 days and 29 (20%) for more than 7 days. In total, 33 patients (23.2%) required a revision sialendoscopy during follow‐up due to recurrence of symptoms. Oral steroids prescribed for more than 7 days after a sialendoscopy reduced the likelihood of a revision procedure by 93% when compared with patients who did not receive this medication, and by 96% when compared with patients who received steroids for less than 7 days. Conclusion The results showed that in our population oral administration of corticosteroids for more than 7 days after sialendoscopy for the treatment of recurrent obstructive sialadenitis due to ductal stenosis markedly reduced the need for later revision surgery. Routine use of corticosteroids for more than 7 days is recommended after sialendoscopy in patients with ductal stenosis. Level of Evidence II Laryngoscope, 131:E1503–E1509, 2021

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Section: Discussionsupporting

confidence: 75%

Do Postoperative Oral Corticosteroids Improve Results After Sialendoscopy for Ductal Stenosis?

et al. 2020

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“…Both disorders may be complicated by bacterial infections [8]. While the therapeutic benefits of sialendoscopy have been demonstrated in many studies and reviews [9–11], the effects of sialadenitis and sialendoscopic intervention on patients’ health-related quality of life (HRQoL) have been investigated less often. Also, the costs related to the treatment of these patients and to sialendoscopy have not been comprehensively explored.…”

Section: Introductionmentioning

confidence: 99%

Costs of sialendoscopy and impact on health-related quality of life

Jokela

Saarinen

Mäkitie

et al. 2018

Eur Arch Otorhinolaryngol

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PurposeTo analyse costs related to the diagnosis and treatment of patients with sialolithiasis and sialadenitis managed with sialendoscopy, and to prospectively evaluate the impact of sialendoscopy on health-related quality of life (HRQoL) in a longitudinal follow-up study.MethodsAll patients undergoing sialendoscopy or sialendoscopy-assisted surgery at a tertiary care university hospital between January 2014 and May 2016 were identified from a surgical database, and the direct hospital costs were retrospectively evaluated from 1 year before to 1 year after the sialendoscopy. The 15D HRQoL questionnaire and a questionnaire exploring the use of health care services during the preceding 3 months were mailed to the patients before sialendoscopy as well as at 3 and 12 months after the operation.ResultsA total of 260 patients were identified. Mean total hospital costs, costs related to the sialendoscopy, and complications were significantly higher in sialolithiasis patients than in patients with other diagnoses. 74 patients returned the baseline 15D questionnaire, and 51 patients all three 15D questionnaires. At baseline, the dimensions “discomfort and symptoms” and “distress” were lower in patients than in age- and gender-standardised general population, but the total 15D score did not differ significantly. The dimension “discomfort and symptoms” improved significantly at 3 and 12 months postoperatively, and the mean total HRQoL score improved in patients with sialolithiasis at 3 months postoperatively.ConclusionsThe costs related to sialendoscopy are substantial and the cost-effectiveness of sialendoscopy warrants further studies. However, sialendoscopy seems to reduce patients’ discomfort and ailments and to improve HRQoL at least in patients with sialolithiasis.

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“…While evidence of symptom resolution following sialendoscopy in the treatment of nonstone disorders has been reported, prior studies have been largely retrospective and of smaller sample sizes. 14,19,[21][22][23] These retrospective analyses have demonstrated successful long-term complete or significant symptom resolution in 70% to 88% of patients following sialendoscopic procedures. 14,23 This prospective study echoes these findings to show that significant symptom reduction can be achieved in over half of patients with chronic idiopathic sialadenitis following treatment with sialendoscopy, although this patient population requires longitudinal follow-up due to high rates of symptom persistence and recurrence.…”

Section: Discussionmentioning

confidence: 99%

Sialendoscopy in Chronic Obstructive Sialadenitis Without Sialolithiasis: A Prospective Cohort Study

Plonowska

Ochoa

Ryan

et al. 2020

Otolaryngol.--head neck surg.

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Objectives To evaluate long-term chronic sialadenitis symptoms in patients without sialolithiasis following sialendoscopy-assisted salivary duct surgery (SASDS) compared to a control group managed conservatively. Study Design Prospective cohort study. Setting Tertiary care center. Methods Thirty-six patients (52 glands) with chronic sialadenitis without sialolithiasis completed the Chronic Obstructive Sialadenitis Symptoms (COSS) questionnaire at presentation and at 3-month time intervals thereafter for 1 year. Lower COSS scores represent lower symptom severity. We compared 27 patients who underwent SASDS to 9 control patients who elected conservative management. Results COSS gland-specific scores from 38 SASDS-treated glands (cases) and 14 control glands were similar at baseline. At 6 to 12 months (mean, 8.4 months), the surgically treated group had significantly lower scores and a greater score reduction from baseline compared to controls (mean score change [95% confidence interval] cases: 20.7 points [15.7-25.8]; controls: 11.7 points [4.9-18.4]; P = .04). There was a significant difference in scores between the 2 groups over time ( P < .001). A greater proportion (72%) of cases reported partial or complete resolution of overall sialadenitis symptoms at 6 to 12 months compared to the controls (22%, P < .05). Conclusion Compared to patients electing for conservative management, patients with sialadenitis without sialolithasis treated with SASDS had improved symptom scores and a greater reduction of symptom severity after 6 months. With SASDS, patients had higher rates of significant overall symptom improvement. In evaluating chronic sialadenitis, assessment at multiple time points is necessary to capture the intermittent and cyclical pattern of obstructive symptoms.

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Sialendoscopy for non‐stone disorders: The current evidence

Cited by 42 publications

References 48 publications

Do Postoperative Oral Corticosteroids Improve Results After Sialendoscopy for Ductal Stenosis?

Do Postoperative Oral Corticosteroids Improve Results After Sialendoscopy for Ductal Stenosis?

Costs of sialendoscopy and impact on health-related quality of life

Sialendoscopy in Chronic Obstructive Sialadenitis Without Sialolithiasis: A Prospective Cohort Study

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