IJOHNS  Vol.5 No.1 , January 2016
Sialendoscopy: A Review of 133 Cases
Abstract: Objective: The aim is to review the effectiveness of sialendoscopy in treating various salivary gland disorders related to the duct. Methods: A total of 133 patients who underwent sialendoscopy were included in this study. Data was collected from case records of patients and was analysed. A detailed history examination was taken and the operative findings were analysed. Causes of obstructive sialadenitis were evaluated and treated. Results: A total of 159 glands were subjected to sialendoscopy and pathology was identified in 149 glands. Forty one submandibular glands had calculi and twelve had non-calcular obstruction. Fifteen parotid glands had calculi and 81 had non-calcular obstruction, of which stricture was the most common. Calculi retrieval or dilation of stricture was achieved with a sialendoscope in 112 glands. In 23 patients, the calculi were retrieved by combined approach. In three patients, the calculi were fragmented with intra luminal Holmium laser and the fragments were removed. All these patients had a good relief from their symptoms. Duct perforation was seen in two patients and a false passage was formed in one. Conclusion: Sialendoscopy was a safe and effective procedure for managing ductal pathologies of salivary glands.
Cite this paper: Deenadayal, D. and Bommakanti, V. (2016) Sialendoscopy: A Review of 133 Cases. International Journal of Otolaryngology and Head & Neck Surgery, 5, 28-33. doi: 10.4236/ijohns.2016.51005.

[1]   Singh, P.P., Gupta, N., Goyal, A. and Tomar, S. (2012) Interventional Sialendoscopy for Parotid Ductal Calculi: Our Preliminary Experience. Indian Journal of Otolaryngology and Head & Neck Surgery, 64, 252-256.

[2]   Harrison, J.D. (2009) Causes, Natural History, and Incidence of Salivary Stones and Obstructions. Otolaryngologic Clinics of North America, 42, 927-947.

[3]   Francis, C.L. and Larsen, C.G. (2014) Pediatric Sialadenitis. Otolaryngologic Clinics of North America, 47, 763-778.

[4]   Nahlieli, O. and Baruchin, A.M. (2000) Long-Term Experience with Endoscopic Diagnosis and Treatment of Salivary Gland Inflammatory Diseases. Laryngoscope, 110, 988-993.

[5]   Nahlieli, O., Shacham, R., Yoffe, B. and Eliav, E. (2001) Diagnosis and Treatment of Strictures and Kinks in Salivary Gland Ducts. Journal of Oral and Maxillofacial Surgery, 59, 484-490.

[6]   Katz, P. (1991) [Endoscopy of the Salivary Glands]. Ann Radiol (Paris), 34, 110-113.

[7]   Marchal, F., Dulguerov, P., Becker, M., Barki, G., Disant, F. and Lehmann, W. (2001) Specificity of Parotid Sialendoscopy. Laryngoscope, 111, 264-271.

[8]   Nahlieli, O. and Baruchin, A.M. (1997) Sialoendoscopy: Three Years’ Experience as a Diagnostic and Treatment Modality. Journal of Oral and Maxillofacial Surgery, 55, 912-918.

[9]   Faure, F., Boem, A., Taffin, C., Badot, F., Disant, F. and Marchal, F. (2005) Sialendoscopie diagnostique et interventionnelle. Revue de Stomatologie et de Chirurgie Maxillo-Faciale, 106, 250-252.

[10]   Al-Abri, R. and Marchal, F. (2010) New Era of Endoscopic Approach for Sialolithiasis: Sialendoscopy. Sultan Qaboos University Medical Journal, 10, 382-387.

[11]   Ngu, R.K., Brown, J.E., Whaites, E.J., Drage, N.A., Ng, S.Y. and Makdissi, J. (2007) Salivary Duct Strictures: Nature and Incidence in Benign Salivary Obstruction. Dentomaxillofacial Radiology, 36, 63-67.

[12]   Marchal, F. and Dulguerov, P. (2003) Sialolithiasis Management: The State of the Art. Archives of Otolaryngology— Head and Neck Surgery, 129, 951-956.

[13]   Zenk, J., Koch, M., Klintworth, N., et al. (2012) Sialendoscopy in the Diagnosis and Treatment of Sialolithiasis: A Study on More than 1000 Patients. Otolaryngology—Head and Neck Surgery, 147, 858-863.

[14]   Ziegler, C.M., Steveling, H., Seubert, M. and Mühling, J. (2004) Endoscopy: A Minimally Invasive Procedure for Diagnosis and Treatment of Diseases of the Salivary Glands. Six Years of Practical Experience. British Journal of Oral and Maxillofacial Surgery, 42, 1-7.

[15]   Marchal, F., Dulguerov, P., Becker, M., Barki, G., Disant, F., Lehmann, W. (2002) Submandibular Diagnostic and Interventional Sialendoscopy: New Procedure for Ductal Disorders. Annals of Otology, Rhinology & Laryngology, 111, 27-35.

[16]   Mikolajczak, S., Meyer, M.F., Beutner, D. and Luers, J.C. (2014) Treatment of Chronic Recurrent Juvenile Parotitis Using Sialendoscopy. Acta Oto-Laryngologica, 134, 531-535.

[17]   Iro, H., Zenk, J. and Koch, M. (2010) Modern Concepts for the Diagnosis and Therapy of Sialolithiasis. HNO, 58, 211-217.

[18]   Marchal, F., Dulguerov, P. and Lehmann, W. (1999) Interventional Sialendoscopy. The New England Journal of Medicine, 341, 1242-1243.