The secretory senescence of the oro-pharyngo-laryngeal tract

Gallo, Andrea; Clemenzi, Veronica; Stolfa, Andrea; Pagliuca, Giulio; Benedetti, Ferdinando Maria Nobili; Caporale, Claudio; Giudice, Alessandro Maselli Del; Maino, Teresa; Robertis, V. De; Cariti, Francesco; Barbara, Francesco

doi:10.36150/2499-6564-483

Cited by 2 publications

(1 citation statement)

References 47 publications

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“…Irrigation allows us not only to obtain an effective dilation of the duct during endoscopy but also to treat some obstructive sialadenitis. The opportunity for administering drugs, such as corticosteroid preparations, directly into the ductal system provides an interesting point of access for salivary inflammatory disease therapy in adults and children [ 10 , 11 , 12 , 13 ]. Furthermore, the treatment of juvenile recurrent parotitis is based on dilation of the Stensen duct, and it is often performed using strong saline solution irrigation [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Use of Irrigation Device for Duct Dilatation during Sialendoscopy

Pagliuca

Clemenzi

Stolfa

et al. 2022

IJERPH

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Background: Continuous irrigation of the duct with isotonic saline is one of the fundamental stages of a successful sialendoscopic procedure. It allows for an adequate luminal distension for the removal of debris and mucous plugs and for the conservative treatment of strictures. This procedure, which commonly involves the use of a medical syringe, can be laborious, and it is often necessary to interrupt irrigation during surgery due to the high resistance to saline. Setting: Academic university hospital. Method: We propose the use of an irrigation device which consists of a high-pressure syringe barrel, an ergonomic piston handle, and a gauge used to monitor the inflation and deflation of balloon catheters. The system allows for a simple and safe dilation, ensuring good visualization of the salivary duct lumen during sialendoscopy. Conclusions: The irrigation system described can be widely used to perform a diagnostic or interventional sialendoscopy more effectively than with a typical manual irrigation procedure.

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