Paper Information

Title: 

SIALENDOSCOPY: A MINIMALLY INVASIVE PROCEDURE FOR DIAGNOSIS AND TREATMENT OF DISEASES OF THE SALIVARY GLAND

Type: PAPER
Author(s): BARADARANFAR M.H.*
 
 *
 
Name of Seminar: INTERNATIONAL CONNGRESS OF IRANIAN SOCIETY OF OTOLARYNGYOLOGY / HEAD AND NECK SURGERY
Type of Seminar:  CONGRESS
Sponsor: 
Date:  2010Volume 1
 
 
Abstract: 

INTRODUCTION: SIALENDOSCOPY IS A NEW PROCEDURE FOR VISUALIZING THE LUMEN OF THE SALIVARY DUCTS, AS WELL AS DIAGNOSING AND TREATING DUCTAL DISEASES. BECAUSE OF THE REQUIRED EQUIPMENT AND THE COMPLEXITY, THE DURATION AND THE POTENTIAL COMPLICATIONS OF THE PROCEDURE, IT APPEARS IMPORTANT TO DISTINGUISH TWO DIFFERENT PROCEDURES: DIAGNOSTIC SIALENDOSCOPY AND INTERVENTIONAL SIALENDOSCOPY. DIAGNOSTIC SIALENDOSCOPY IS AN EVALUATION PROCEDURE, WHILE INTERVENTIONAL SIALENDOSCOPY MUST BE CONSIDERED AN OPERATION ON THE OBSTRUCTIVE DUCTAL DISEASE.
METHODS: THE PROCEDURE WAS PERFORMED UNDER GENERAL ANESTHESIA, THE SUBMANDIBULAR ORIFICE WAS DILATED, AND A RIGID ENDOSCOPE WAS INSERTED UNDER DIRECT VISION WITH NORMAL SALINE IRRIGATION AFTER DILATATION. THE STONES WERE EITHER BROKEN DOWN BY LASER OR REMOVED WITH A BASKET OR FORCEPS.
RESULTS: A TOTAL OF 18 PATIENTS UNDERWENT THE PROCEDURE. THE DURATION OF THE MEDIAN FOLLOW-UP WAS 11 MONTHS. IN 14 PATIENTS, THE STONES WERE IDENTIFIED AND REMOVED. NO STONES WERE FOUND IN FOUR PATIENTS. THE SYMPTOMS SUBSIDED COMPLETELY IN 15 PATIENTS WITHIN THREE WEEKS AFTER THE PROCEDURE. NO LINGUAL NERVE OR HYPOGLOSSAL NERVE INJURY WAS DETECTED IN ANY PATIENT.
CONCLUSION: SIALENDOSCOPY IS A SAFE AND EFFICACIOUS TREATMENT FOR SUBMANDIBULAR DUCTAL STONES. IT REDUCES THE INCIDENCE OF MISSED STONES AND NERVE INJURY, AS WELL AS THE NEED FOR SIALADENECTOMY. DIAGNOSTIC SIALENDOSCOPY IS A NEW, MINIMALLY INVASIVE TECHNIQUE THAT MAY BECOME THE INVESTIGATIONAL PROCEDURE OF CHOICE FOR SALIVARY DUCT DISORDERS.

 
Keyword(s): SIALENDOSCOPY, SALIVARY GLAND, SIALOADENITIS
 
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