Long-term results of combined approach in parotid sialolithiasis.
Combined sialendoscopic and transcutaneous approach in parotid sialolithiasis is a surgical option for large and impacted stones. The aim of this study is to assess the long-term results regarding postoperative stenosis, recurrent swellings and gland function. Prospective study in a tertiary referral center of patients with parotid sialolithiasis requiring combined approach. A total of 12 patients have been treated within a period of 3 years. Intraductal stents were placed in 9 of 12 cases. Scintigraphic evaluation of salivary glands and follow-up sialendoscopy performed 1 year postoperatively. In total, fourteen stones (two stones in two cases) were successfully removed along with two coexisted inflammatory polyps. Postoperative endoscopic evaluation revealed mild stenosis in 7 out of 12 cases without clinical significance as no recurrent swellings were reported. Scintigraphy showed normal gland function in 11 cases and mild hypofunction in 1 case with long-standing history of sialolithiasis. All patients were free of symptoms within the follow-up period of time (median follow-up 15.5 months). Combined approach is a safe, gland preserving and efficacious procedure in long term. The stenosis in the area of ductal surgical opening when present does not seem to be of clinical value.
Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece. jordan_orl@hotmail.com.
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Konstantinidis
Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece.
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Chatziavramidis
3rd Nuclear Medicine Department, Papageorgiou Hospital Aristotle University, Thessaloniki, Greece.
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Iakovou
Sialendoscopy Clinic, 2nd Academic ORL Department, Papageorgiou Hospital Aristotle University, 3 Kapetan Kotta str, Panorama, 55236, Thessaloniki, Greece.
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Constantinidis
D000328:Adult; D000368:Aged; D003251:Constriction, Pathologic / Q000209:etiology; D004487:Edema / Q000209:etiology; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010305:Parotid Diseases / Q000601:surgery*; D011127:Polyps / Q000601:surgery; D011446:Prospective Studies; D015494:Salivary Gland Calculi / Q000601:surgery*; D012468:Salivary Gland Neoplasms / Q000601:surgery; D012469:Salivary Glands / Q000473:pathology; D015607:Stents
Parotid gland; Salivary glands; Sialendoscopy; Sialolithiasis; Transcutaneous