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Rivista di Otorinolaringologia, Chirurgia Maxillo-Facciale,
Chirurgia Plastica Ricostruttiva, Otoneurochirurgia
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2015 March;65(1):1-5
Pushing frontiers in salivary ductal obstruction: initial experience
Jain P. 1, Sharma S. C. 2, Karthikeyan C. V. 3, Singh C. A. 2, Bhalla A. 4
1 Department of Otorhinolaryngology, Post Graduate Institute of Medical Education and Research, Chandigarh, India;
2 Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India;
3 Department of Otolaryngology, University of Miami, FL, USA;
4 Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
AIM: Aim of the present study was to review our initial experience with sialendoscopy in patients with salivary ductal obstruction and follow up.
METHODS: A prospective study in which a total of 30 patients(20 males, 10 females) underwent sialendoscopy using 1 mm semirigid endoscope under local anesthesia in an outpatient clinic. All patients were clinically examined and underwent preoperative screening by either standard radiography, ultrasonography, computed tomography, magnetic resonance sialography or conventional sialography. They were followed up for 6 months for recurrence of symptoms.
RESULTS: The mean age of presentation was 35 years, with an average duration of symptoms of 32 months. Submandibular gland was involved in most of the cases. Left side was affected much more commonly than the right. Successful endoscopy was performed in 77% (23 of 30). Indications included sialolithiasis, strictures, polyp and chronic sialadenitis. The duration of the procedure was 57 min in submandibular and 44 min in parotid gland. There was progressive decrease in the duration of time taken to perform endoscopy in the patients. Complications encountered included glandular swelling, failure to cannulate, false passage creation and ductal tear. On a 6 month follow up 70% patients were symptom free.
CONCLUSION: Sialendoscopy is an efficient minimally invasive technique for the treatment of salivary ductal obstruction. It is a relatively safe procedure with only few complications like false passage creation. It has a learning curve with decreasing duration of procedure in subsequent cases.