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Sialendoscopy-Based Analysis of Submandibular Duct Papillae with a Proposal for Classification. J Clin Med 2023; 12:jcm12031129. [PMID: 36769777 PMCID: PMC9917658 DOI: 10.3390/jcm12031129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 01/23/2023] [Accepted: 01/30/2023] [Indexed: 02/04/2023] Open
Abstract
Identifying a submandibular (Wharton's) duct punctum often hinders sialendoscopy; however, there is a paucity of evidence on whether the appearance of Wharton's duct papilla impacts the sialendoscopic procedure. A classification of Wharton's duct papillae based on the macroscopic appearance, size of dilatation probes, and sialendoscopic approach was proposed herein. The classification describing four main types of papillae, A, B, C, and D, was prospectively evaluated on 351 Wharton's duct papillae in 315 patients. For each papillae type, the demographic/clinical data, intraoperative complications, and time required for sialendoscope introduction were analyzed. Estuary-like papilla (type A) was commonly seen after spontaneous stone extrusion, had no intraoperative complications noted, and had the shortest time required for the sialendoscope introduction. Normal papilla (type B) was the most frequently observed papilla (48.1%), reflecting diverse underlying pathology, while difficult papilla (type C) was often associated with unfavorable anatomical variations of the mandible or floor of the mouth. Substantially closed papilla (type D) had the highest rate of intraoperative complications, namely, perforation with a false passage, and required the longest time for the sialendoscope introduction. In seven patients (2.0%), the entrance into the duct was feasible only through the fistula, while the sialendoscope introduction failed in eight patients (2.3%). In conclusion, the appearance of Wharton's duct papillae may be influenced by the underlying pathology. Based on the proposed classification, papilla typology affects the duration of sialendoscope introduction and may influence the frequency of intraoperative complications.
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Abstract
Simple sialendoscopy procedures may be performed in the outpatient clinic with few complications. This process spares patients the risks, increased cost, and time burdens of sialendoscopy under general anesthesia. Sialendoscopy procedures may be incorporated into the outpatient practice after gaining experience with these procedures in the operating room. Diagnostic sialendoscopy, dilation of stenosis, and endoscopic sialolithotomies of small, freely mobile stones are appropriate for in-office sialendoscopy in many instances.
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Squires L, King J, Hsieh TY, Joshi AS. Rapid, Effective Cannulation for Salivary Duct Access: Use of Hydro-Dilation With Viscous Lidocaine. Laryngoscope 2021; 131:E2432-E2435. [PMID: 33720416 DOI: 10.1002/lary.29456] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 01/06/2021] [Accepted: 01/17/2021] [Indexed: 11/12/2022]
Affiliation(s)
- Lane Squires
- Department of Otolaryngology-Head and Neck Surgery, University of California, Davis Medical Center, Sacramento, CA, U.S.A.,Division of Otolaryngology - Head and Neck Surgery, Veterans Affairs Northern California Healthcare System, Sacramento, CA, U.S.A
| | - Jackson King
- Washington State University College of Medicine, Spokane, WA, U.S.A
| | - Tsung-Yen Hsieh
- Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, OH, U.S.A
| | - Arjun S Joshi
- Division of Otolaryngology-Head and Neck Surgery, The George Washington University, Washington, DC, U.S.A
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Bento RF. Sialendoscopy for Improvement of Salivary Flow in Patients with Sjögren Syndrome - Comparative Analysis of Intraglandular Washing Solutions. Int Arch Otorhinolaryngol 2021; 25:e1-e7. [PMID: 33391395 PMCID: PMC7850891 DOI: 10.1055/s-0040-1716574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 07/29/2020] [Indexed: 10/31/2022] Open
Abstract
Introduction Among the potential diseases that present altered salivary flow and activity is Sjögren syndrome. Sialendoscopy seems to be an important therapeutic option. Objective To compare the results obtained with sialendoscopy for improving salivary flow measured by scintigraphy in patients with primary Sjögren syndrome to those obtained with other intraglandular washing solutions. Methods Patients from our institution's rheumatology clinic diagnosed with primary Sjögren syndrome underwent parotid scintigraphy prior to the sialendoscopy procedure. During the sialendoscopy procedure, one of the parotid glands was randomized to receive a wash with saline while the other was washed with a corticosteroid solution. After 1 month, a new scintigraphy examination of the parotid glands was performed to observe the salivary flow for comparison. Results A total of 13 female patients with mean age of 53.38 years (range, 27-76 years) were included in this study. After sialendoscopy, 10 patients (76.92%) were observed to have improvement in salivary excretion with radiopharmaceutical during scintigraphy. When analyzing each gland that was treated separately (26 glands), after sialendoscopy, improvement was observed in 18 glands (69.23%), 8 treated with dexamethasone and 10 with saline solution in the wash. There was no improvement in 8 glands (30.77%). Conclusion This study demonstrates that sialendoscopy is as an important tool to improve salivary flow measured by scintigraphy in patients with primary Sjogren syndrome, increasing salivary excretion through dilation and consequent unblocking of the ducts. These data suggest that there is no statistically significant difference between intraductal washing solutions using saline or dexamethasone solution.
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Affiliation(s)
- Ricardo Ferreira Bento
- Department of Otorhinolaryngology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil
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Wang R, Su YX. Reliable ductal access in sialoendoscopy. Int J Oral Maxillofac Surg 2020; 49:1592-1594. [PMID: 32620451 DOI: 10.1016/j.ijom.2020.05.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 04/05/2020] [Accepted: 05/25/2020] [Indexed: 11/19/2022]
Abstract
During sialoendoscopy, insertion of the endoscope through the ductal orifice is usually a challenging procedure, especially for beginners. Based on our experience, we have found that using the Kolenda Salivary Access Introducer Set is the most reliable and easily learned ductal access approach. We report details of the technique and discuss the advantages of this approach.
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Affiliation(s)
- R Wang
- Division of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Hong Kong, Hong Kong Special Administrative Region
| | - Y-X Su
- Division of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Hong Kong, Hong Kong Special Administrative Region.
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Carta F, Farneti P, Cantore S, Macrì G, Chuchueva N, Cuffaro L, Pasquini E, Puxeddu R. Sialendoscopy for salivary stones: principles, technical skills and therapeutic experience. ACTA OTORHINOLARYNGOLOGICA ITALICA 2018; 37:102-112. [PMID: 28516972 PMCID: PMC5463517 DOI: 10.14639/0392-100x-1599] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 12/12/2016] [Indexed: 11/25/2022]
Abstract
Obstructive sialadenitis is the most common non-neoplastic disease of the salivary glands, and sialendoscopy is increasingly used in both diagnosis and treatment, associated in selected cases with endoscopic laser lithotripsy. Sialendoscopy is also used for combined minimally invasive external and endoscopic approaches in patients with larger and proximal stones that would require excessively long laser procedures. The present paper reports on the technical experience from the Ear, Nose and Throat Unit of the Sant'Orsola-Malpighi Hospital of Bologna, and from the Department of Otorhinolaryngology of the University Hospital of Cagliari, Italy, including the retrospective analysis of the endoscopic and endoscopic assisted procedures performed on 48 patients (26 females and 22 males; median age 45.3; range 8-83 years) treated for chronic obstructive sialadenitis at the University Hospital of Cagliari from November 2010 to April 2016. The results from the Sant'Orsola-Malpighi Hospital of Bologna have been previously published. The technical aspects of sialendoscopy are carefully described. The retrospective analysis of the University Hospital of Cagliari shows that the disease was unilateral in 40 patients and bilateral in 8; a total of 56 major salivary glands were treated (22 submandibular glands and 34 parotids). Five patients underwent bilateral sialendoscopy for juvenile recurrent parotitis. 10 patients were treated for non-lithiasic obstructive disease. In 33 patients (68.75%) the obstruction was caused by salivary stones (bilateral parotid lithiasis in 1 case). Only 8 patients needed a sialectomy (5 submandibular glands and 3 parotids). The conservative approach to obstructive sialadenitis is feasible and can be performed either purely endoscopically or in a combined modality, with a high percentage of success. The procedure must be performed with dedicated instrumentation by a skilled surgeon after proper training since minor to major complications can be encountered. Sialectomy should be the "extrema ratio" after failure of a conservative approach.
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Affiliation(s)
- F Carta
- Department of Otorhinolaryngology, University of Cagliari, Azienda Ospedaliero Universitaria di Cagliari, Italy
| | - P Farneti
- Ear, Nose and Throat Unit of Sant'Orsola-Malpighi Hospital, Bologna, Italy
| | - S Cantore
- Ear, Nose and Throat Unit of Sant'Orsola-Malpighi Hospital, Bologna, Italy
| | - G Macrì
- Ear, Nose and Throat Unit of Sant'Orsola-Malpighi Hospital, Bologna, Italy
| | - N Chuchueva
- Department of Otorhinolaryngology, University of Cagliari, Azienda Ospedaliero Universitaria di Cagliari, Italy.,I.M. Sechenov First Moscow State Medical University, 11991, Moscow, Russia
| | - L Cuffaro
- Department of Otorhinolaryngology, University of Cagliari, Azienda Ospedaliero Universitaria di Cagliari, Italy
| | - E Pasquini
- Ear, Nose and Throat Metropolitan Unit - Surgical Department - AUSL Bologna, Bellaria Hospital, Bologna, Italy
| | - R Puxeddu
- Department of Otorhinolaryngology, University of Cagliari, Azienda Ospedaliero Universitaria di Cagliari, Italy
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Le Roux MK, Graillon N, Foletti JM, Chossegros C. Cystinuria: One Possible Reason for Kidney and Salivary Gland Lithiasis Relationship. J Oral Maxillofac Surg 2018; 76:1013-1015. [DOI: 10.1016/j.joms.2017.11.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Revised: 10/22/2017] [Accepted: 11/06/2017] [Indexed: 10/18/2022]
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Foletti JM, Graillon N, Avignon S, Guyot L, Chossegros C. Salivary Calculi Removal by Minimally Invasive Techniques: A Decision Tree Based on the Diameter of the Calculi and Their Position in the Excretory Duct. J Oral Maxillofac Surg 2018; 76:112-118. [DOI: 10.1016/j.joms.2017.06.009] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 06/06/2017] [Accepted: 06/06/2017] [Indexed: 10/19/2022]
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Su C, Hung S. Easy insertion into the duct: The use of an angiocatheter as a sialendoscopy applicator. Laryngoscope 2017; 128:1392-1394. [DOI: 10.1002/lary.27007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2017] [Accepted: 10/10/2017] [Indexed: 11/06/2022]
Affiliation(s)
- Chin‐Hui Su
- Department of OtorhinolaryngologyMackay Memorial HospitalTaipei Taiwan
- Department of Otolaryngology, School of Medicine, College of MedicineTaipei Medical UniversityTaipei Taiwan
| | - Shih‐Han Hung
- Department of Otolaryngology, School of Medicine, College of MedicineTaipei Medical UniversityTaipei Taiwan
- Department of OtolaryngologyTaipei Medical University HospitalTaipei Taiwan
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Karagozoglu KH, De Visscher JG, Forouzanfar T, van der Meij EH, Jager DJ. Complications of Sialendoscopy in Patients With Sjögren Syndrome. J Oral Maxillofac Surg 2016; 75:978-983. [PMID: 28481749 DOI: 10.1016/j.joms.2016.09.046] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Revised: 09/21/2016] [Accepted: 09/25/2016] [Indexed: 10/25/2022]
Abstract
PURPOSE Recent literature suggests that sialendoscopy of the major salivary glands could alleviate symptoms of Sjögren syndrome (SS) and restore salivary function. The aim of this study was to evaluate the authors' experience of sialendoscopy of the salivary glands in patients with SS. MATERIALS AND METHODS In this retrospective case series study, the surgical data of patients with SS who had undergone sialendoscopy at the VU University Medical Center (Amsterdam, The Netherlands) from November 2014 through April 2015 were used. Outcome measurements were successful entry to the salivary gland and completion of sialendoscopy as planned. Furthermore, pre- and postoperative complications were scored. Descriptive analysis of the data was performed. RESULTS Surgical data of sialoendoscopic procedures in 26 patients with SS (24 women and 2 men; mean age, 57 yr; range, 27 to 72 yr) were analyzed. Sialendoscopy was successfully performed in 78 of 104 salivary glands (75%; 50 parotid and 28 submandibular glands) in the 26 patients. Sialendoscopy failed in 26 of the 104 sialoendoscopic procedures (25%; 2 parotid and 24 submandibular glands). In 16 salivary glands, the ductal orifice could not be identified. In 7 salivary glands, sialendoscopy could not be performed because of partial or complete stenosis of the salivary duct. In 3 salivary glands, sialendoscopy was not performed because of a ductal perforation. Three patients developed a postoperative infection. CONCLUSION The overall rate of complications was limited and the sialoendoscopic complications in patients with SS could be regarded as minor. Most complications were seen for sialendoscopy of the submandibular glands in this specific patient category. Careful preoperative selection of patients and salivary glands could contribute to a lower rate of complications and more predictable results.
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Affiliation(s)
- K Hakki Karagozoglu
- Consultant Oral and Maxillofacial Surgeon and PhD Candidate, Department of Oral and Maxillofacial Surgery and Oral Pathology, VU University Medical Center, Amsterdam, The Netherlands.
| | - Jan G De Visscher
- Associate Professor, Department of Oral and Maxillofacial Surgery and Oral Pathology, VU University Medical Center, Amsterdam; Department of Oral and Maxillofacial Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands
| | - Tymour Forouzanfar
- Professor and Department Head, Department of Oral and Maxillofacial Surgery and Oral Pathology, VU University Medical Center, Amsterdam, The Netherlands
| | - Erik H van der Meij
- Assistant Professor, Department of Oral and Maxillofacial Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands
| | - Derk Jan Jager
- Assistant Professor, Department of Oral and Maxillofacial Surgery and Oral Pathology, VU University Medical Center; Center for Special Care Dentistry (SBT), Amsterdam, The Netherlands
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Kent DT, Walvekar RR, Schaitkin BM. Sialendoscopy: Getting started, how long does it take? Laryngoscope 2016; 126:1083-5. [DOI: 10.1002/lary.25644] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Revised: 07/27/2015] [Accepted: 08/10/2015] [Indexed: 11/08/2022]
Affiliation(s)
- David T. Kent
- Department of Otolaryngology; University of Pittsburgh School of Medicine; Pittsburgh Pennsylvania
| | - Rohan R. Walvekar
- Department of Otolaryngology, Head and Neck Surgery; Louisiana State University Health Sciences Center; New Orleans Louisiana U.S.A
| | - Barry M. Schaitkin
- Department of Otolaryngology; University of Pittsburgh School of Medicine; Pittsburgh Pennsylvania
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Steck JH, Stabenow E, Volpi EM, Vasconcelos ECG. The learning progression of diagnostic sialendoscopy. Braz J Otorhinolaryngol 2016; 82:170-6. [PMID: 26671021 PMCID: PMC9449080 DOI: 10.1016/j.bjorl.2015.10.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Accepted: 02/21/2015] [Indexed: 11/25/2022] Open
Abstract
Introduction Sialendoscopy is becoming the gold standard procedure for diagnosis and treatment of Salivary Gland Inflammatory Diseases. Objective To evaluate the learning progression of a single surgeon to implement and perform diagnostic sialendoscopy: to estimate how many procedures were necessary to achieve better results; if it was higher rate of complications in the beginning. Methods Retrospective analysis involving 113 consecutive sialendoscopies performed from 2010 to 2013. According to a descriptive analysis of the factors related to surgeon's experience, the casuistic was divided into two groups: group (A) comprising the first 50 exams, and group (B) the last 63. Groups were then compared concerning demographic and peri-operative aspects. Results In Group A, failure to catheterize papilla were 22% versus 3% in B (p = 0.001). Failure to complete examination was 30% in group A versus 6% in B (p = 0.001), and necessity to repeat exams was 22% in group A versus 10% in B (p = 0.058). The complication rates were 18% in group A, and 10% in B (p = 0.149). Operative time was slightly shorter in group B (56 versus 41 min, p = 0.045). Conclusion We found better outcomes after the first 50 diagnostic sialendoscopies. Complication rates were statistically the same between early and late groups of experience with sialendoscopy.
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Li J, Fang W, Chen JF, Long X. Epidural Tube: A Useful Device in Sialendoscopy Operations. J Oral Maxillofac Surg 2015; 74:552-5. [PMID: 26433042 DOI: 10.1016/j.joms.2015.09.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2015] [Revised: 09/02/2015] [Accepted: 09/10/2015] [Indexed: 10/23/2022]
Abstract
Salivary endoscopy, which was first described in 1991, is a safe technique with few complications. The sialendoscopy operation has been developed and successfully offered as a minimally invasive and gland-preserving approach for the treatment of chronic obstructive sialadenitis. For many surgeons, entering the duct lumen of the salivary gland is the most difficult and time-consuming step of the sialendoscopy operation. This report introduces a timesaving and straightforward method for entering the duct lumen using an epidural tube, which is a plastic tube with a blunt tip.
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Affiliation(s)
- Jin Li
- Resident, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University; Stomatology and Key Laboratory of Oral Biomedicine, Ministry of Education, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China; Department of Oral and Maxillofacial Surgery, The First People's Hospital of Foshan, Foshan, Guangdong, China
| | - Wei Fang
- Resident, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University; Stomatology and Key Laboratory of Oral Biomedicine, Ministry of Education, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China
| | - Ju-feng Chen
- Professor, Department of Oral and Maxillofacial Surgery, The First People's Hospital of Foshan, Foshan, Guangdong, China
| | - Xing Long
- Professor, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University; Stomatology and Key Laboratory of Oral Biomedicine, Ministry of Education, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China.
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Louvrier A, Foletti JM, Guyot L, Chossegros C. [Combined approach of parotid lithiasis. A technical note]. ACTA ACUST UNITED AC 2015; 116:139-42. [PMID: 25841269 DOI: 10.1016/j.revsto.2015.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2014] [Revised: 02/18/2015] [Accepted: 02/27/2015] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Sialendoscopy, extracorporeal lithotripsy and transoral removal are the usual treatments for parotid lithiasis. These techniques cannot treat all the patients. In fact, removal of lithiasis bigger than the ductal diameter and situated in the middle or posterior third of the duct may fail with such techniques. For this reason the combined approach has been developed. Our technical note describes this procedure. TECHNICAL NOTE Preoperative check-up needs an ultrasound or a CT scan of the parotid region. The procedure is conducted under general anesthesia. It begins with the localization of the lithiasis with help of the sialendoscope light visible through the skin. A face lift approach is performed giving access to the SMAS that is opened over the lithiasis and the transilluminated area. A window is opened on the duct and the lithiasis is removed. Proximal duct permeability is assessed with the sialendoscope. The different layers are sutured and a suction drainage is left in place. DISCUSSION Combined approach is indicated in case of failure of conservative techniques. It provides good results in removal of lithiasis located in the posterior or middle thirds of the duct. Its morbidity is low. It can avoid performing a parotidectomy and lowers the risk of facial palsy. In case of failure, botulinum toxin injection may be indicated.
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Affiliation(s)
- A Louvrier
- Service de chirurgie maxillo-faciale et stomatologie, centre hospitalier La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; Service de chirurgie maxillo-faciale, de stomatologie et d'odontologie hospitalière, centre hospitalier universitaire de Besançon, boulevard Fleming, 25030 Besançon cedex, France.
| | - J-M Foletti
- Service de chirurgie maxillo-faciale et plastique de la face, CHU Nord, chemin des Bourrely, 13015 Marseille, France; Aix-Marseille université, 13284 Marseille, France
| | - L Guyot
- Service de chirurgie maxillo-faciale et plastique de la face, CHU Nord, chemin des Bourrely, 13015 Marseille, France; Aix-Marseille université, 13284 Marseille, France
| | - C Chossegros
- Service de chirurgie maxillo-faciale et stomatologie, centre hospitalier La Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France; Aix-Marseille université, 13284 Marseille, France
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Su CH, Lee KS, Tseng TM, Hung SH. Post-sialendoscopy ductoplasty by salivary duct stent placements. Eur Arch Otorhinolaryngol 2015; 273:189-95. [DOI: 10.1007/s00405-015-3500-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Accepted: 01/03/2015] [Indexed: 12/01/2022]
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Chang JL, Eisele DW. Limited distal sialodochotomy to facilitate sialendoscopy of the submandibular duct. Laryngoscope 2013; 123:1163-7. [PMID: 23553554 DOI: 10.1002/lary.23801] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2012] [Revised: 09/14/2012] [Accepted: 09/24/2012] [Indexed: 01/12/2023]
Affiliation(s)
- Jolie L Chang
- Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco School of Medicine, San Francisco, California 94115, USA.
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Gary C, Kluka EA, Schaitkin B, Walvekar RR. Interventional sialendoscopy for treatment of juvenile recurrent parotitis. J Indian Assoc Pediatr Surg 2012; 16:132-6. [PMID: 22121310 PMCID: PMC3221154 DOI: 10.4103/0971-9261.86865] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To evaluate our preliminary experience with interventional sialendoscopy for the diagnosis and treatment of juvenile recurrent parotitis (JRP). MATERIALS AND METHODS Three consecutive pediatric patients with JRP who underwent interventional sialendoscopy were identified. Interventional sialendoscopy consisted of serial dilation of the Stenson's duct, endoscopy of the ductal system and saline irrigation followed by instillation of triamcinolone acetate. Clinical, demographic, procedure-related data and complications were documented. End points of the study were technical success, defined as completion of the procedure, subjective improvement in symptoms as indicated by the patients or their parents and assessment of safety in terms of complications. RESULTS Three male patients with a mean age of 9 years (range 6-11 years) underwent interventional sialendoscopy for JRP. Endoscopic findings included a blanched stenotic duct with intraductal debris in those who were symptomatic. Technical success was 100%. The mean number of episodes of JRP in the year prior to presenting to our service among the three patients was 5 (range 4-6 per year). There were no new episodes of JRP reported at the last follow-up. There were no major complications. CONCLUSION Our preliminary experience concurs with the current literature and suggests that interventional sialendoscopy is effective for the management of JRP and can be considered for patients who fail conservative medical management.
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Affiliation(s)
- Celeste Gary
- Department of Otolaryngology Head Neck Surgery, LSU Health Sciences Center, New Orleans, LA
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Witt RL, Iro H, Koch M, McGurk M, Nahlieli O, Zenk J. Minimally invasive options for salivary calculi. Laryngoscope 2012; 122:1306-11. [DOI: 10.1002/lary.23272] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2011] [Revised: 01/06/2012] [Accepted: 02/07/2012] [Indexed: 01/04/2023]
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Foletti JM, Chossegros C, Salles F, Guyot L. Transoral approach for Stensen's duct lithiasis. Laryngoscope 2011; 121:1893-5. [DOI: 10.1002/lary.21792] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2010] [Accepted: 02/02/2011] [Indexed: 11/08/2022]
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20
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Bowen MA, Tauzin M, Kluka EA, Nuss DW, DiLeo M, McWhorter AJ, Schaitkin B, Walvekar RR. Diagnostic and interventional sialendoscopy: A preliminary experience. Laryngoscope 2011; 121:299-303. [DOI: 10.1002/lary.21390] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2010] [Revised: 09/12/2010] [Accepted: 09/15/2010] [Indexed: 11/05/2022]
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Abstract
When basic surgical principles are followed diagnostic salivary endoscopy is a relatively safe operative procedure. Therapeutic sialendoscopy uses such instrumentation as lasers, forceps, baskets, and balloons for endoductal fragmentation, retrieval, and dilatation. Based on experience acquired from more than 300 salivary endoscopy procedures and a review of the current literature, the most relevant operative techniques are presented.
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Affiliation(s)
- Urban W Geisthoff
- University of the Saarland, Medical Faculty, Kirrberger Street, D-66421 Homburg/Saar, Germany
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Fritsch MH. Sialendoscopy and Lithotripsy: Literature Review. Otolaryngol Clin North Am 2009; 42:915-26, Table of Contents. [DOI: 10.1016/j.otc.2009.09.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Iwai T, Matsui Y, Yamagishi M, Hirota M, Mitsudo K, Maegawa J, Tohnai I. Simple technique for dilatation of the papilla in sialoendoscopy. J Oral Maxillofac Surg 2009; 67:681-2. [PMID: 19231802 DOI: 10.1016/j.joms.2008.08.043] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2008] [Accepted: 08/19/2008] [Indexed: 10/21/2022]
Affiliation(s)
- Toshinori Iwai
- Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine, Kanazawa-ku, Yokohama, Japan.
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Marchal F, Chossegros C, Faure F, Delas B, Bizeau A, Mortensen B, Schaitkin B, Buchwald C, Cenjor C, Yu C, Campisi D, Eisele D, Greger D, Trikeriotis D, Pabst G, Kolenda J, Hagemann M, Tarabichi M, Guntinas-Lichius O, Homoe P, Carrau R, Irvine R, Studer R, Wang S, Fischer U, Van der Poorten V, Saban Y, Barki G. [Salivary stones and stenosis. A comprehensive classification]. ACTA ACUST UNITED AC 2008; 110:e1-4. [PMID: 19108856 DOI: 10.1016/j.stomax.2008.10.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2008] [Accepted: 07/23/2008] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Sialendoscopy and sialo-MRI enable diagnosis of salivary gland obstructive pathologies, such as lithiasis, stenosis and dilatations. Therefore, a classification of these pathologies is needed, allowing large series comparisons, for better diagnosis and treatment of salivary pathologies. MATERIAL AND METHODS With help from people from the European Sialendoscopy Training Center (ESTC), the results of sialographies, sialoMRI and sialendoscopies, a comprehensive classification of obstructive salivary pathologies is described, based on the absence or presence of lithiasis (L), stenosis (S) and dilatation (D) ("LSD" classification). DISCUSSION It appears that a classification of salivary gland obstructive pathologies should be described. We hope it will be widely used and of course criticized to be improved and to compare the results of salivary gland diagnostic methods, such as sialography and sialendoscopy and also the results and indications for salivary gland therapeutic methods, such as lithotripsy, sialendoscopy and/or open surgery.
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Affiliation(s)
- F Marchal
- Clinique Générale Beaulieu, 20, Chemin Beau-Soleil, 1206 Geneva, Switzerland
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Methylene blue for easy and safe detection of salivary duct papilla in sialendoscopy. Otolaryngol Head Neck Surg 2008; 139:466-7. [PMID: 18722233 DOI: 10.1016/j.otohns.2008.05.023] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2008] [Revised: 05/15/2008] [Accepted: 05/15/2008] [Indexed: 11/23/2022]
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Marchal F, Chossegros C, Faure F, Delas B, Bizeau A, Mortensen B, Schaitkin B, Buchwald C, Cenjor C, Yu C, Campisi D, Eisele D, Greger D, Trikeriotis D, Pabst G, Kolenda J, Hagemann M, Tarabichi M, Guntinas-Lichius O, Homoe P, Carrau R, Irvine R, Studer R, Wang S, Fischer U, Van der Poorten V, Saban Y, Barki G. Salivary stones and stenosis. A comprehensive classification. ACTA ACUST UNITED AC 2008; 109:233-6. [DOI: 10.1016/j.stomax.2008.07.004] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2008] [Accepted: 07/23/2008] [Indexed: 11/29/2022]
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Lari N, Chossegros C, Thiery G, Guyot L, Blanc JL, Marchal F. [Sialendoscopy of the salivary glands]. ACTA ACUST UNITED AC 2008; 109:167-71. [PMID: 18533211 DOI: 10.1016/j.stomax.2008.04.003] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2008] [Accepted: 04/02/2008] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Sialoendoscopy is a simple efficient mode of treatment for major salivary gland sialoliths and strictures. METHODS Sialendoscopy procedure requires specific devices, diagnostic and therapeutic sialendocopes, minigrasping forceps, wire baskets, lasers, balloons and stents. The sialendoscopy procedure is divided in three steps: the duct introduction step (through the papilla or through the duct wall); the diagnostic step (from main duct to third or fourth salivary division branches) and the therapeutic step (stone removal with a Dormia basket or miniforceps and stenosis balloon dilatation). The feasibility of stone removal depends on the size, the position, the mobility and the shape of the stone. The only contraindication is acute sialadenitis. DISCUSSION Sialendoscopy complications are minor. Its success rate for stone removal is greater than 90%, and it has dramatically reduced the rate of sialadenectomy (to less than 5%).
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Affiliation(s)
- N Lari
- Service de stomatologie et de chirurgie maxillofaciale, CHU de la Timone, boulevard Jean-Moulin, 13385 Marseille cedex 5, France
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Marchal F. A Combined Endoscopic and External Approach for Extraction of Large Stones With Preservation of Parotid and Submandibular Glands. Laryngoscope 2007; 117:373-7. [PMID: 17204984 DOI: 10.1097/mlg.0b013e31802c06e9] [Citation(s) in RCA: 137] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Francis Marchal
- Sialendoscopy Unit, Department of Otolaryngology, Head and Neck Surgery, University Hospital, Geneva, Switzerland.
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