Abstract
Objectives:
Evaluate our institution’s experience with diagnostic and therapeutic sialendoscopy in the management of nonneoplastic salivary gland disorders.
Methods:
At a tertiary medical center, a retrospective chart review was conducted of 105 patients with recurrent sialadenitis between 2008-2012 with sialendoscopy performed on 130 glands. Outcomes measured included cause, stone size and location, surgical method, and any further need for intervention.
Results:
The mean age of presentation was 49 (range, 15-77), and 45% were male. Reasons for recurrent sialadenitis included sialolithiasis (75), history of radioactive iodine/radiation (10), Sjogrens Syndrome (2), stricture (6), and anatomical obstruction (7). Ten patients had a history of prior transoral intervention, and two had a history of gland removal on the affected side. In patients with sialolithiasis (n = 75), the mean stone size was 8.6 mm if originating from the submandibular gland (n = 44, range, 1-25mm), and 4.4 mm if originating from the parotid (n = 9, range, 2-7mm). Complete stone removal was accomplished in 92% of cases on first attempt with the stone visualized. In 33.8% of the patients, the stone was removed endoscopically, while a combined approach was required in 50.7%. 15.5% required submandibular or parotid gland removal. 17.8% of patients required further intervention (medical or surgical) following their procedure.
Conclusions:
Sialendoscopy demonstrates great potential in the management of recurrent sialadenitis and minimizes the need for gland excision in that setting. Further investigation and adoption of sialendoscopy is warranted.
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