Gill AS, Kieliszak CR, Joshi AS. Sialendoscopy as a management tool in patients with foreign body impaction of the salivary gland.
Am J Otolaryngol 2016;
37:369-71. [PMID:
27040414 DOI:
10.1016/j.amjoto.2016.02.008]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Revised: 02/22/2016] [Accepted: 02/25/2016] [Indexed: 11/16/2022]
Abstract
PURPOSE
It has been long known that sialendoscopy has both diagnostic and therapeutic benefits in the identification and treatment of sialadenitis. Sialendoscopy can also be used to triage patients with traumatic injury or foreign bodies lodged in the parotid gland.
PROCEDURES
We present a case of traumatic insertion a fishbone into the parotid gland parenchyma that was evaluated with sialendoscopy and successfully managed on the basis of stable endoscopy findings that correlated with improving symptomatology.
MAIN FINDINGS
We find that sialendoscopy presents a useful tool to help guide management.
CONCLUSIONS
We demonstrate that in an asymptomatic patient, foreign body impaction with absence of ductal obstruction on endoscopy can successfully be followed with simple observation.
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