Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-17T19:31:19.756Z Has data issue: false hasContentIssue false
  • English
  • Français

Prognostic factors for therapeutic sialendoscopy

Published online by Cambridge University Press:  11 May 2017

D Cox ,
L Chan  and
D Veivers
D Cox*
Affiliation:
ENT Department, Royal North Shore Hospital, St Leonards, New South Wales, Australia
L Chan
Affiliation:
ENT Department, Royal North Shore Hospital, St Leonards, New South Wales, Australia
D Veivers
Affiliation:
ENT Department, Royal North Shore Hospital, St Leonards, New South Wales, Australia
*
Address for correspondence: Dr Daniel Cox, ENT Department, Royal North Shore Hospital, St Leonards, NSW, Australia E-mail: dcox384@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To review our experience with therapeutic sialendoscopy in both the submandibular and parotid glands in order to determine prognostic factors and improve successful outcomes.

Study design:

Single-centre, retrospective chart review.

Method:

The medical records of patients who had undergone sialendoscopy for sialolithiasis were reviewed, and demographic details, stone data (location, size, multiplicity, mobility), and operative technique and success were recorded.

Results:

Eighty-five patients were included: 70 patients with submandibular stones and 15 with parotid stones. Sialendoscopy was successful in all cases. Complete endoscopic removal was successful in 51 per cent of patients with submandibular stones and 47 per cent of those with parotid stones. Size (less than 5 mm) and distance from the papilla (less than 3 cm) were significant factors affecting success for patients with submandibular duct stones. However, this was not the case for patients with parotid duct stones, with neither variable achieving significance; nevertheless, numbers were small.

Conclusion:

Stone size and location significantly affect the success of therapeutic sialendoscopy in submandibular glands.

Keywords

Salivary GlandsSalivary CalculiSubmandibular Duct CalculiParotid Duct CalculiEndoscopySialendoscopySialolithiasis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 3 , March 2018 , pp. 275 - 278
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Australian Society of Otolaryngology Head and Neck Surgery Annual Scientific Meeting, 7–9 March 2015, Sydney, Australia.

References

1 Marchal, F, Dulguerov, P, Becker, M, Barki, G, Disant, F, Lehman, W. Submandibular diagnostic and interventional sialendoscopy: new procedure for ductal disorders. Ann Otol Rhinol Laryngol 2002;111:27–35 Google Scholar
2 Koch, M, Zenk, J, Iro, H. Algorithms for treatment of salivary gland obstructions. Otolaryngol Clin North Am 2009;42:1173–92CrossRefGoogle ScholarPubMed
3 Marchal, F, Dulguerov, P. Sialolithiasis management: the state of the art. Arch Otolaryngol Head Neck Surg 2003;129:951–6CrossRefGoogle ScholarPubMed
4 Luers, J, Grosheva, M, Stenner, M, Beutner, D. Sialendoscopy: prognostic factors for endoscopic removal of salivary stones. Arch Otolaryngol Head Neck Surg 2011;137:325–9CrossRefGoogle Scholar
5 Nahlieli, I, Nakar, L, Nazarian, Y, Turner, M. Sialoendoscopy: a new approach to salivary gland obstructive pathology. J Am Dent Assoc 2006;137:1394–400Google Scholar
6 Kopec, T, Wierzbicka, M, Szyfter, W, Leszczynska, M. Algorithm changes in treatment of submandibular gland sialolithiasis. Eur Arch Otolaryngol 2013;270:2089–93Google Scholar
7 Kim, J, Shin, S, Lee, H, Lee, S. Factors affecting long-term outcome of transoral surgery for submandibular stones: a follow-up study of 125 patients. Clin Otolaryngol 2016;41:365–70Google Scholar
8 Schwartz, N, Hazkani, I, Goshen, S. Combined approach sialendoscopy for management of submandibular gland sialolithiasis. Am J Otolaryngol 2015;36:632–5Google Scholar
9 Lieu, D, Jiang, L, Xie, X, Zhang, Z, Zhang, L, Yu, G. Sialoendoscopy-assisted sialolithectomy for submandibular hilar calculi. J Oral Maxillofac Surg 2013;71:295–301 Google Scholar
10 Preuss, S, Klussman, J, Wittekindt, C, Drebber, U, Beutner, D, Guntinas-Lichius, O. Submandibular gland excision: 15 years of experience. J Oral Maxillofac Surg 2007;65:953–7Google Scholar
11 Springborg, L, Moller, M. Submandibular gland excision: long-term clinical outcome in 139 patients operated in a single institution. Eur Arch Otorhinolaryngol 2013;270:1441–6CrossRefGoogle ScholarPubMed
12 Rauch, S, Gorlin, R. Disease of the salivary glands. In: Gorlin, RJ, Goldmann, HM, eds. Thomas’ Oral Pathology. St Louis: CV Mosby, 1970;997–1003 Google Scholar
13 Walvekar, R, Carrau, R, Schaitkin, B. Endoscopic sialolith removal: orientation and shape as predictors of success. Am J Otolaryngol 2009;30:153–6Google Scholar
14 Rahmati, R, Gillespie, B, Eisele, D. Is sialendoscopy an effective treatment for obstructive salivary disease? Laryngoscope 2013;123:1828–9CrossRefGoogle Scholar
15 Matsunobu, T, Kurioka, T, Miyagawa, Y, Araki, K, Tamura, A, Niwa, K et al. Minimally invasive surgery of sialolithiasis using sialendoscopy. Auris Nasus Larynx 2014;41:528–31Google Scholar
16 Atienza, G, Lopez-Cedrun, J. Management of obstructive salivary disorders by sialendoscopy: a systematic review. Br J Oral Maxillofac Surg 2015;53:507–19Google Scholar
17 Luers, J, Damm, M, Klussmann, J, Beutner, D. The learning curve of sialendoscopy with modular sialendoscopes: a single surgeon's experience. Arch Otolaryngol Head Neck Surg 2010;136:762–5Google Scholar
18 Steck, J, Bertelli, H, Hoeppner, C, Vasconcelos, E. What is the learning curve of sialendoscopy? Otolaryngol Head Neck Surg 2013;149(suppl 2):P81 CrossRefGoogle Scholar
19 Galinat, L, Curry, J, Luginbuhl, A, Rosen, D, Cognetti, DM. Nonvisualization of sialoliths during sialendoscopy. Otolaryngol Head Neck Surg 2016;154:1019–22CrossRefGoogle ScholarPubMed