Experiences in the treatment of obstructive sialoadenitis with sialendoscopy
C.-H. Su , H. Tseng , K.-S. Lee , T.-M. Tseng and S.-H. Hung
Department of Otorhinolaryngology, Mackay Memorial Hospital, Taipe, Taiwan, Department of Otolaryngology, School of Medicine, Taipei Medical University, Taipei, Taiwan, Department of Biochemistry, Taipei Medical Univer- sity, Taipei, Taiwan, Department of Otolaryngology, Taipei Medical University Hospital, Taipei, Taiwan
Sialendoscopy; sialolithiasis; stent; outcome
199 - 206
Purpose: The success of stone removal with sialendoscopic lithotripsy in the management of lithiasis-related obstructive sialoadenitis has been reported, but the proper management for patients with non-lithiasis obstructive sialoadenitis remains unclear. This study aims to report experiences in sialendoscopy for the management of obstructive sialoadenitis with and without the presence of stones. Methods: Data from 71 procedures in 66 patients who underwent sialendoscopy for obstructive sialoadenitis were recorded and compared in terms of clinical data, computed tomography (CT) findings, procedural techniques and out- comes. Results: The overall specificity rate of CT for detecting sialolithiasis was 91.6%. The complete remission rate was 100% for patients with confirmed sialolithiasis successfully treated with stone removal after endoscopic lithotripsy. For patients with non-sialolithiasis obstructive sialoadenitis of the submandibular gland, the com- plete remission rate dropped to 22% if no additional treatments were done after a diagnostic sialendoscopy. If sialostents were inserted, the complete remission rate increased to 55%. However, this improvement was very limited in terms of the overall management of the affected parotid gland. Conclusion: For patients with obstructive sialoadenitis and salivary gland stones, removal of the stones under sialendoscopy will most likely provide complete remission. Patients without stones have much worse treat - ment outcomes compared to those with true sialolithiasis. Sialostent placement may have the potential to
Vol. 12, 2016, 3rd trimester

Experiences in the treatment of obstructive sialoadenitis with sialendoscopy