Sialendoscopy: A Review of 133 Cases

Abstract

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.

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Sialendoscopic Management of Obstructive Salivary Gland Pathology: A Retrospective Analysis of 236 Cases

“…In cases of dubious diagnoses, the superior diagnostic modality was sialendoscopy as it provided direct and real-time visualization of the entire ductal system. 18 The reporting of whichever diagnostic modality chosen always included type of pathology, location, size, density (where applicable), diameter of punctum, and others.…”

Sialendoscopy for salivary stones: principles, technical skills and therapeutic experience

“…At present, US represents an excellent first-level diagnostic technique in preoperative work-up. However, Deenadayal et al observed that US is a good modality with high sensitivity for lithiasis, but it has low sensitivity in nonlithiasic obstructions 19 . In our series, the majority of patients were investigated through CT to exclude or confirm the presence of stones and to assess their precise dimensions and number.…”

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