title: The introduction of sialendoscopy has significantly contributed to a decreased number of excised salivary glands in Denmark.
abstract: Excision has been the treatment of choice in benign non-tumorous obstructive disorders of the major salivary glands, when symptoms persisted in spite of conservative measures. Unfortunately surgical resection has been associated with a relatively high rate of adverse effects. To meet the need for a less invasive treatment modality for benign obstructive non-tumorous disorders (i.e., salivary stones or stenosis), sialendoscopy has been developed and implemented in several countries here among Denmark. This study is a 13-year retrospective registry-based study using The Danish National Patient Register. ICD-10 codes used for non-tumorous obstructive disease of the salivary glands were identified and used to extract patients potentially eligible for sialendoscopy in order to compare sialendoscopic surgery and extirpations of salivary glands. In 2012 sialendoscopy accounted for almost 20 % of all surgical interventions on the major salivary glands due to benign non-tumorous disease. Nationally and regionally the total number of resected major salivary glands due to benign obstructive disease also decreased significantly during the study period. A positive outcome, like the ones described here, will inspire further development and dissemination of gland preserving techniques, to great benefit for the patients.
authors: Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Koege Hospital, Lykkebaekvej 1, 4600, Koege, Denmark. eva.rye.rasmussen@dadlnet.dk.
authors: Eva Rye
authors: ER
authors: Rasmussen
authors: Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital of Copenhagen, Blegdamsvej 9B, 2100, Copenhagen East, Denmark.
authors: Eva
authors: E
authors: Lykke
authors: Private Hospital Valdemar, 4100, Ringsted, Denmark.
authors: Niels
authors: N
authors: Wagner
authors: Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Koege Hospital, Lykkebaekvej 1, 4600, Koege, Denmark.
authors: Troels
authors: T
authors: Nielsen
authors: Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Hilleroed Hospital, Dyrehavevej 29, 3400, Koege, Denmark.
authors: Stian
authors: S
authors: Waersted
authors: Private Hospital Valdemar, 4100, Ringsted, Denmark.
authors: Helge
authors: H
authors: Arndal
mesh_terms: D059019:Clinical Coding; D003251:Constriction, Pathologic / Q000601:surgery; D003718:Denmark; D004724:Endoscopy / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments / Q000379:methods* / Q000706:statistics & numerical data; D012042:Registries; D012189:Retrospective Studies; D015494:Salivary Gland Calculi / Q000601:surgery*; D012469:Salivary Glands / Q000601:surgery*; D016896:Treatment Outcome
keywords: Danish; Endoscopy; National patient register; Salivary gland surgery; Sialendoscopy; Sialolithiasis; Stenosis