Interventional Sialendoscopy

Retrograde Theory in Sialolithiasis Formation

“…Based on multiple diagnostic sialendoscopy procedures performed on 120 submandibular glands, 20 we have observed the presence of a sphincter system in the first 3 cm of the Wharton duct in most cases (90%). In our case, however, diagnostic endoscopy did not confirm the presence of such a sphincter.…”

“…Sialography and diagnostic sialendoscopy confirmed the diagnosis of a 8-mm sialolithiasis, partially embedded in the canal-wall. Because of the paucity of symptoms, and because of the embedded stone, no interventional sialendoscopy 11 or submandibular surgery was planned.…”

Interventional sialendoscopy

“…In more than 100 interventional endoscopies 6 we have not encountered any significant complication, such as damage to the facial or lingual nerves, gross hemorrhage, or major duct wall perforations. Nevertheless, in two parotid sialendoscopic procedures we encountered an impaction of the grasping basket, which could be removed by firm traction.…”

Sialendoscopy: Introduction, Indications and Technique

“…We use a freshly prepared irrigation solution for all sialendoscopies done under local anaesthesia. It is prepared by mixing 20 mL of 2 % lidocaine and 20 mL of normal saline (0.9 %) [7]. Care needs to be taken to limit the use of this irrigation solution to avoid lidocaine toxicity and swelling of the gland.…”