Sialoendoscopy: A New Alternative for the Treatment of Salivary Pathology. Our Experience

The learning progression of diagnostic sialendoscopy

“… 14 Despite its conceptual simplicity, sialendoscopy is a challenging procedure, particularly the therapeutic ones, requiring skilled and experienced hands given the potential risk of perforation of the salivary duct. 2 …”

“…In the last 15 years the gold standard in the treatment of Salivary Gland Inflammatory Diseases (SGID) moved from open surgical resection to endoscopic treatment, with the obvious gain of avoiding complications from parotid and submandibular surgery, like scars and nerve injury, and preserving salivary function. 1 , 2 Sialendoscopy was first described for the treatment of sialolithiasis. 3 , 4 Rapidly the technique gained space in the diagnosis and treatment of other SGID, like Radioiodine sialadenitis, Sjogrens disease and Juvenile recurrent parotiditis.…”

“…As the benefits of the sialendoscopy in regard to the open surgeries became evident, 1 , 2 some training centers were established, as the European Sialendoscopy Training Center, created in 2002 by Francis Marchal. 1 Despite a growing experience about this procedure, some important doubts remain, such as whether the complication rate is higher at the beginning of the learning curve and how many cases are necessary for a surgeon to perform a safe sialendoscopy.…”

Fístula extraoral asociada a sialolitiasis en el conducto de Wharton. Reporte de un caso

“…Los sialolitos crecen en promedio 1-1.5mm por año dice Saluja et al (15). Pueden estar libres o adheridos a la pared del conducto según Baptista et al (23). Presentan variedad de formas, desde redondeadas hasta ovaladas mencionan Marwaha & Nanda (22) y pueden tener diversos tamaños, desde menos de un milímetro hasta algunos centímetros en diámetro o más grandes de acuerdo con Oteri et al (11).…”

“…La sialendoscopía, o endoscopía de la glándula salival, es un método relativamente nuevo que permite examinar el epitelio que cubre los conductos y permite introducir una cesta para atrapar el sialolito, o introducir un láser para fragmentarlo (litotripsia por onda de choque intracorpórea); evitando escisiones innecesarias describe Baptista et al (23), cuya principal limitación es que sirve únicamente para cálculos pequeños (<4mm) según Saluja (15).…”