Pediatric sialendoscopy in Asians: A preliminary report.
OBJECTIVE
The sialendoscopic approach in treating pediatric salivary gland disorders has been reported with great success through the years. Whereas this success has been widely reported in Caucasian populations, relatively little has been reported regarding the use of this procedure in pediatric patients in Asian countries. The purpose of this study is to report our preliminary experience in pediatric sialendoscopy.


METHODS
The data from 20 patients (<18years old), who underwent sialendoscopy for obstructive sialoadenitis in the Department of Otorhinolaryngology of Mackay Memorial Hospital between October 2013 and November 2015, were reviewed.


RESULTS
Twelve of our 20 patients (60%) were diagnosed with sialolithiasis and 8 of our 20 patients (40%) presented with non-lithiasis obstructive sialoadenitis. Ductal stenosis was found in 13 patients, and 18 patients had debris/mucous plug formation. The overall success rate was 95% (19/20) in our series, and 85% (17/20) of the patients had achieved a complete remission after a single sialendoscopy procedure.


CONCLUSIONS
Sialendoscopy is an ideal treatment in the management of obstructive sialoadenitis in Asian pediatric patients. If necessary, Holmium:YAG laser lithotripsy and sialostent placement could be applied, and both procedures are well tolerated in pediatric patients.
Department of Otorhinolaryngology, Mackay Memorial Hospital; Department of Otolaryngology, School of Medicine, Taipei Medical University, Taipei, Taiwan.
Chin-Hui
CH
Su
Department of Otorhinolaryngology, Mackay Memorial Hospital.
Kuo-Sheng
KS
Lee
Department of Otorhinolaryngology, Mackay Memorial Hospital.
Jui-Hsien
JH
Hsu
Department of Otolaryngology, School of Medicine, Taipei Medical University, Taipei, Taiwan; Department of Otolaryngology, Shuang-Ho Hospital, Taipei Medical University.
Fei-Peng
FP
Lee
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan; Mackay Medicine, Nursing and Management College, Taipei, Taiwan; Department of Medicine, Mackay Medical College, New Taipei City, Taiwan.
Hsiang-Yu
HY
Lin
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan; Mackay Medicine, Nursing and Management College, Taipei, Taiwan; Department of Medicine, Mackay Medical College, New Taipei City, Taiwan.
Shuan-Pei
SP
Lin
Department of Otolaryngology, School of Medicine, Taipei Medical University, Taipei, Taiwan; Department of Otolaryngology, Taipei Medical University Hospital. Electronic address: seedturtle@gmail.com.
Shih-Han
SH
Hung
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D019468:Disease Management; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D015994:Incidence; D053844:Lasers, Solid-State / Q000627:therapeutic use; D017602:Lithotripsy, Laser / Q000379:methods*; D008297:Male; D015494:Salivary Gland Calculi / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D013624:Taiwan / Q000453:epidemiology
Asian; Obstructive sialoadenitis; Pediatric; Sialendoscopy