Interventional Sialoendoscopy: Early Clinical Results

Papadaki, Maria; McCain, Joseph P.; Kim, King; Katz, Ronald L.; Kaban, Leonard B.; Troulis, Maria J.

doi:10.1016/j.joms.2008.01.017

Cited by 63 publications

(86 citation statements)

References 38 publications

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“…Sometimes it is possible to remove even larger stones without fragmentation if they have smoothly ellipsoid configuration [3]. On the other hand, the chances for stone removal are reduced if the stone is impacted inside the duct or if the stone location is deep in duct branches smaller than the diameter of the endoscope [13].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally there is no consensus on the maximum diameter of stones that could be removed without fragmentation. This size varies between 3 and 7 mm in different studies [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

“…In a review of 62 patients with sialolithiasis, Papadaki et al [13] reported removal of stones in one piece using basket or grasper in 34 cases. In 23 patients stones were fragmented before endoscopic retrieval.…”

Section: Discussionmentioning

confidence: 99%

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Interventional Sialendoscopy with Endoscopic Sialolith Removal Without Fragmentation

Dabirmoghaddam

Hosseinzadehnik

2012

Indian J Otolaryngol Head Neck Surg

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We performed a retrospective analysis to review the results and complications of sialendoscopy and to identify the overall success rate of mechanical stone retrieval without fragmentation in our patients with sialolithiasis. Between 2009 and 2011, 33 patients with sialolithiasis underwent interventional sialendoscopy. Patients with sialoliths larger than 7 mm in the Wharton's duct and 5 mm in the Stensen's duct or intraparenchymal stones were not included in this study. Grasping forceps, wire baskets and graspers was used for stone removal. The mean age at presentation was 41.7 (range, 29-62) years with a male to female ratio of approximately 1:2. The average size of the stones ranged from 2 to 6 mm. The overall success rate for endoscopic stone retrieval was 78 % (26 of 33) and three patients required a combined approach with intraoral incisions for stone removal. The major complication rate was 3 % (1 of 33) caused by submandibular duct perforation. The endoscopic retrieval of salivary stones is a safe and effective technique in selected cases. As instruments for stone fragmentation are expensive and not available everywhere, selecting patients with small and medium sized stones could lead to successful results in majority of cases.

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Section: Discussionmentioning

confidence: 99%

“…Additionally there is no consensus on the maximum diameter of stones that could be removed without fragmentation. This size varies between 3 and 7 mm in different studies [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

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Interventional Sialendoscopy with Endoscopic Sialolith Removal Without Fragmentation

Dabirmoghaddam

Hosseinzadehnik

2012

Indian J Otolaryngol Head Neck Surg

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“…First described by Konigsberger et al in 1990 28 and pioneered during the following decades, sialoendoscopy has proved a reliable means of treating salivary ductal obstructions, including strictures, sialoliths, mucus plugs, polyps, and foreign bodies. [29][30][31][32] Routinely performed in the outpatient setting and typically using only local anesthesia, sialoendoscopy requires dilatation and cannulation of the ductal orifice (usually with a lacrimal probe and dilator, though occasionally requiring papillotomy), followed by insertion of the sialoendoscope (Fig 7), saline lavage, and sundry interventional techniques (including laser or mechanical lithotripsy, basket or forceps retrieval of stones or foreign bodies, and balloon dilatation and sweeping) (Video 3). 29,30,33,34 Multiple miniendoscopes are available for clinical practice, including flexible, semirigid, and rigid scopes, though semirigid scopes tend to be the preferred instruments at this time.…”

Section: Mr Sialography Considerations Before Sialoendoscopymentioning

confidence: 99%

MR Sialography: A Pictorial Review

Koontz¹,

Kralik²,

Fritsch³

et al. 2014

neurograph

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Education (ACCME) to provide continuing medical education for physicians. The ASNR designates this enduring material for a maximum of one AMA PRA Category one credit TM . Physicians should claim only the credit commensurate with the extent of their participation in the activity. To obtain credit for this activity, an online quiz must be successfully completed and submitted. ASNR members may access this quiz at no charge by logging on to eCME at http://members.asnr.org. Nonmembers may pay a small fee to access the quiz and obtain credit via http://members.asnr.org/ecme. ABSTRACTMR sialography is a noninvasive method for evaluating the ductal structures of the major salivary glands. While the technique and its applications have evolved greatly from its initial description in the mid-1990s, it remains rooted in the simple concept that stationary fluid, such as saliva, has intrinsic high T2 signal intensity, obviating instillation of contrast material to "opacify" the salivary ducts. MR sialography offers several advantages over conventional or digital sialography, including its noninvasive technique, lack of the need for contrast media, lack of ionizing radiation, independence from an experienced operator, its concomitant evaluation of the salivary glandular parenchyma, and acute sialadenitis not being a contraindication for imaging. In this review, we describe the current state of MR sialographic imaging, including basic, adjuvant, and advanced techniques; salient anatomy germane to both radiologists and salivary endoscopists; MR sialographic considerations before sialoendoscopy; a suggested search pattern modeled after the clinical considerations of referring salivary endoscopists; disease-specific applications of MR sialography; and imaging alternatives.Learning Objective: To recognize the current state of MR sialography, including its advantages, limitations, current applications in medical imaging, pertinent findings for salivary endoscopists, future directions, and imaging alternatives.

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“…Laser stone fragmentation and intra-ductal lithotripsy have been described. The Holmium has been used for stone fragmentation (Papadaki ME, McCain JP, Kim K, et al 2008). For larger stones or stones that cannot be accessed endoscopically, a combined approach technique is required, (Figure 11).…”

Section: Endoscopy With or Without Interventionmentioning

confidence: 99%