Objective: The aim is to review the effectiveness of sialendoscopy in treating various salivary gland disorders related to the duct. Methods: A total of 133 patients who underwent sialendoscopy were included in this s...Objective: The aim is to review the effectiveness of sialendoscopy in treating various salivary gland disorders related to the duct. Methods: A total of 133 patients who underwent sialendoscopy were included in this study. Data was collected from case records of patients and was analysed. A detailed history examination was taken and the operative findings were analysed. Causes of obstructive sialadenitis were evaluated and treated. Results: A total of 159 glands were subjected to sialendoscopy and pathology was identified in 149 glands. Forty one submandibular glands had calculi and twelve had non-calcular obstruction. Fifteen parotid glands had calculi and 81 had non-calcular obstruction, of which stricture was the most common. Calculi retrieval or dilation of stricture was achieved with a sialendoscope in 112 glands. In 23 patients, the calculi were retrieved by combined approach. In three patients, the calculi were fragmented with intra luminal Holmium laser and the fragments were removed. All these patients had a good relief from their symptoms. Duct perforation was seen in two patients and a false passage was formed in one. Conclusion: Sialendoscopy was a safe and effective procedure for managing ductal pathologies of salivary glands.展开更多
Sialendoscopy is a minimally invasive technique that facilitates the diagnosis and treatment of sialolithiasis.This case series presents the novel use of sialendoscopy to treat sialodocholithiasis in six patients with...Sialendoscopy is a minimally invasive technique that facilitates the diagnosis and treatment of sialolithiasis.This case series presents the novel use of sialendoscopy to treat sialodocholithiasis in six patients with a non-functional or surgically absent submandibular gland by a single surgeon at the University of Pennsylvania Health System between March 2013 and December 2019.The four female and two male patients had a median age of 56 years and mean follow-up of 16.2 months(range 1-44.5).All stones were successfully removed using sialendoscopy,and in 5 patients a combined approach was utilized.All patients remain asymptomatic at last clinical follow-up.We conclude that sialendoscopy is a viable,minimally invasive method for managing sialodocholithiasis in patients with prior submandibular gland excision or atretic gland.It is also useful as an assistive tool when approaching complex transcervical or transoral procedures in previously instrumented patients.展开更多
文摘Objective: The aim is to review the effectiveness of sialendoscopy in treating various salivary gland disorders related to the duct. Methods: A total of 133 patients who underwent sialendoscopy were included in this study. Data was collected from case records of patients and was analysed. A detailed history examination was taken and the operative findings were analysed. Causes of obstructive sialadenitis were evaluated and treated. Results: A total of 159 glands were subjected to sialendoscopy and pathology was identified in 149 glands. Forty one submandibular glands had calculi and twelve had non-calcular obstruction. Fifteen parotid glands had calculi and 81 had non-calcular obstruction, of which stricture was the most common. Calculi retrieval or dilation of stricture was achieved with a sialendoscope in 112 glands. In 23 patients, the calculi were retrieved by combined approach. In three patients, the calculi were fragmented with intra luminal Holmium laser and the fragments were removed. All these patients had a good relief from their symptoms. Duct perforation was seen in two patients and a false passage was formed in one. Conclusion: Sialendoscopy was a safe and effective procedure for managing ductal pathologies of salivary glands.
文摘Sialendoscopy is a minimally invasive technique that facilitates the diagnosis and treatment of sialolithiasis.This case series presents the novel use of sialendoscopy to treat sialodocholithiasis in six patients with a non-functional or surgically absent submandibular gland by a single surgeon at the University of Pennsylvania Health System between March 2013 and December 2019.The four female and two male patients had a median age of 56 years and mean follow-up of 16.2 months(range 1-44.5).All stones were successfully removed using sialendoscopy,and in 5 patients a combined approach was utilized.All patients remain asymptomatic at last clinical follow-up.We conclude that sialendoscopy is a viable,minimally invasive method for managing sialodocholithiasis in patients with prior submandibular gland excision or atretic gland.It is also useful as an assistive tool when approaching complex transcervical or transoral procedures in previously instrumented patients.
