title: Diagnostic and interventional sialendoscopy: a preliminary experience.
abstract: OBJECTIVE
  To review our preliminary experience with diagnostic and therapeutic sialendoscopy for the management of non-neoplastic disorders of the salivary gland.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Thirty-three consecutive patients undergoing 36 sialendoscopy procedures performed at a tertiary medical center from July 2008 to July 2010 were included.
  
  
  RESULTS
  The mean age of presentation was 43 years (range, 7-74 years), and 61% of patients were male. Indications included sialolithiasis (47%; 17 of 36), recurrent sialadenitis (44%, 16 of 36), and Sjögren's syndrome (8%; three of 36). Successful endoscopy was performed in 97% (35 of 36). A papillotomy for access was necessary in 25% (nine of 36). In patients with sialolithiasis (n = 17), the mean size of the stones was 7.3 mm (range, 1-20 mm). Complete stone removal was achieved in 76% (13 of 17) of cases. Endoscopic stone removal was possible in 29% (five of 17), and a combined approach technique was required in 47% (eight of 17). Seventy-two percent (26 of 36) of patients had complete resolution of symptoms after sialendoscopy, with 19% (seven of 36) having partial resolution of symptoms. Patients with partial improvement of symptoms had a mean duration of improvement of 4.7 months. The overall complication rate was 22% (eight of 36). The major and minor complication rates were 3% (one of 36) and 19% (seven of 36), respectively.
  
  
  CONCLUSIONS
  Sialendoscopy is safe and effective in managing non-neoplastic salivary gland disorders with low rates of major complications. Knowledge of options to navigate the rate-limiting steps, like dilation of the papilla and careful case selection, are key to successful outcomes.
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA.
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Bowen
authors.forename: Marcie
authors.initials: M
authors.lastname: Tauzin
authors.forename: Evelyn A
authors.initials: EA
authors.lastname: Kluka
authors.forename: Daniel W
authors.initials: DW
authors.lastname: Nuss
authors.forename: Michael
authors.initials: M
authors.lastname: DiLeo
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: McWhorter
authors.forename: Barry
authors.initials: B
authors.lastname: Schaitkin
authors.forename: Rohan R
authors.initials: RR
authors.lastname: Walvekar
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D015494:Salivary Gland Calculi / Q000473:pathology / Q000601:surgery; D012466:Salivary Gland Diseases / Q000175:diagnosis* / Q000601:surgery*; D012469:Salivary Glands / Q000473:pathology*; D012793:Sialadenitis / Q000473:pathology; D012859:Sjogren's Syndrome / Q000473:pathology; D016896:Treatment Outcome