Outcomes of interventional sialendoscopy for obstructive salivary gland disorders: an Italian multicentre study

A Gallo, P Capaccio, M Benazzo, Luca De Campora, M. De Vincentiis, P. A. Farneti, Marco Fusconi, Marcella Gaffuri, F. Russo, S. Martellucci, F Ottaviani, G. Pagliuca, Gaetano Paludetti, E. Pasquini, L Pignataro, R. Puxeddu, Mario Rigante, E. Scarano, S. Sionis, R. SpecialeP Canzi

Research output: Contribution to journalArticlepeer-review

Abstract

Interventional sialendoscopy has become the predominant therapeutic procedure for the management of obstructive salivary disorders, but only a few multicentre studies of large series of patients with a long-term follow-up have been published. This Italian multicentre study involved 1152 patients (553 females; mean age 50 years) who, after at least a clinical and ultrasonographic evaluation, underwent a total of 1342 diagnostic and interventional sialendoscopies, 44.6% of which involved the parotid gland. 12% (n = 138) of patients underwent multiple treatments. The procedure was successful in 1309 cases. In 33 cases (2.4%) the procedure could not be concluded mainly because of complete duct stenosis (21 cases). Salivary stones were the main cause of obstruction (55%), followed by ductal stenosis and anomalies (16%), mucous plugs (14.5%) and sialodochitis (4.7%). Complete therapeutic success was obtained in 92.5% of patients after one or more procedures, and was ineffective in < 8%. Untoward effects (peri and postoperative complications) were observed in 5.4% of cases. Sialendoscopy proved to be an effective, valid and safe procedure in the diagnostic and therapeutic management of non-neoplastic obstructive salivary gland diseases.

Original languageEnglish
Pages (from-to)479-485
Number of pages7
JournalActa Otorhinolaryngologica Italica
Volume36
Issue number6
DOIs
Publication statusPublished - Dec 2016

Keywords

  • Journal Article

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