Sialoendoscopy in the diagnosis and management of obstructive sialadenitis

Maresh, Alison; Kutler, David I.; Kacker, Ashutosh

doi:10.1002/lary.21378

Cited by 57 publications

(58 citation statements)

References 21 publications

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“…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%

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Salivary duct stenosis: diagnosis and treatment

Koch

Iro

2017

Acta Otorhinolaryngol Ital

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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.

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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%

Salivary duct stenosis: diagnosis and treatment

Koch

Iro

2017

Acta Otorhinolaryngol Ital

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“…Ultrasonography represents an excellent firstlevel diagnostic technique because it reveals ductal and highly mineralized stones with a diameter of at least 1.5 mm with an accuracy of 99 % [7]. Ultrasound can detect upto 90% of salivary duct stones.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2014

JPNC

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“…Sialendoscopy has become an increasing trend for the treatment and diagnosis of obstructive salivary gland disease [1]. The most common obstructive salivary gland disease is sialolith, while other etiologies include strictures, mucoid plug, and anatomic ductal abnormalities [2].…”

Section: Introductionmentioning

confidence: 99%

Post-sialendoscopy ductoplasty by salivary duct stent placements

Lee

Tseng

et al. 2015

Eur Arch Otorhinolaryngol

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With damage to a duct or papilla after sialendoscopy, a stent may be necessary to prevent re-stenosis and for maintaining the salivary duct open after complete sialendoscopy. However factors affecting outcomes and complications after stent placement remain unclear. This study aimed to report preliminary experiences in salivary duct stent placement after sialendoscopy. Data from 35 procedures in 33 patients who received sialendoscopy with salivary duct stent placements at Mackay Memorial Hospital between October 2013 and June 2014 were recorded and compared for clinical data, as well as procedural techniques, findings, and outcomes. In the 35 stent placement procedures, the hypospadias silastic stent tubes were used in 27 and the Fr. 5 pediatric feeding tubes were used in the remaining eight. When the hypospadias silastic stent tubes were used for stenting, the stent obstruction and irritation rates were higher compared to those who used the Fr. 5 pediatric feeding tube (100 vs. 0 % and 67 vs. 33 %, respectively). None of the stents secured by a 5-0 nylon suture were complicated by dislocation but when the stents were secured by 6-0 nylon sutures, the dislocation rate went as high as 47.4 %. The duration needed for salivary duct stent placement might be potentially shortened to only 2 weeks. If a salivary duct stent is intended to be placed for a certain period before its scheduled removal, a suture strength equivalent or stronger than the 5-0 nylon suture should be considered for stent fixation.

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Sialoendoscopy in the diagnosis and management of obstructive sialadenitis

Cited by 57 publications

References 21 publications

Salivary duct stenosis: diagnosis and treatment

Salivary duct stenosis: diagnosis and treatment

Untitled

Post-sialendoscopy ductoplasty by salivary duct stent placements

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