Outcomes of interventional sialendoscopy for obstructive salivary gland disorders: an Italian multicentre study.
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.
Department of Medico-surgical sciences and biotechnologies, ENT Section, Sapienza University of Rome, Italy.
A
A
Gallo
Department of Biomedical, Surgical and Dental Sciences, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
P
P
Capaccio
Department of Otorhinolaryngology, University of Pavia, IRCCS Policlinico "S. Matteo" Foundation, Pavia, Italy.
M
M
Benazzo
Department of Otorhinolaryngology, "Fatebenefratelli" Hospital, Roma, Italy.
L
L
De Campora
Department of Sense Organs, ENT Section, Policlinico "Umberto I", Sapienza University of Rome, Italy.
M
M
De Vincentiis
Department of Experimental, Diagnostic and Specialty Medicine, Dimes, Bologna University Medical School, Ear, Nose and Throat Unit of "Sant'Orsola-Malpighi" Hospital, Bologna, Italy.
P
P
Farneti
Department of Sense Organs, ENT Section, Policlinico "Umberto I", Sapienza University of Rome, Italy.
M
M
Fusconi
Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
M
M
Gaffuri
Department Experimental biomedicine and clinical neurosciences, Otorhinolaryngology Unit, University of Palermo; Italy.
F
F
Lo Russo
Department of Medico-surgical sciences and biotechnologies, ENT Section, Sapienza University of Rome, Italy.
S
S
Martellucci
Department of Clinical Sciences and Community Health, San Giuseppe Hospital, Università degli Studi di Milano, Milan, Italy.
F
F
Ottaviani
Department of Medico-surgical sciences and biotechnologies, ENT Section, Sapienza University of Rome, Italy.
G
G
Pagliuca
Department of Head and Neck Surgery, Institute of Otorhinolaryngology, Università Cattolica del Sacro Cuore, Italy.
G
G
Paludetti
Ear, Nose and Throat Metropolitan Unit, Surgical Department, AUSL Bologna, Italy.
E
E
Pasquini
Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
L
L
Pignataro
Department of Otorhinolaryngology, AOU, PO "S. Giovanni di Dio", University of Cagliari, Italy.
R
R
Puxeddu
Department of Head and Neck Surgery, Institute of Otorhinolaryngology, Università Cattolica del Sacro Cuore, Italy.
M
M
Rigante
Department of Head and Neck Surgery, Institute of Otorhinolaryngology, Università Cattolica del Sacro Cuore, Italy.
E
E
Scarano
Department of Otorhinolaryngology, AOU, PO "S. Giovanni di Dio", University of Cagliari, Italy.
S
S
Sionis
Department Experimental biomedicine and clinical neurosciences, Otorhinolaryngology Unit, University of Palermo; Italy.
R
R
Speciale
Department of Otorhinolaryngology, University of Pavia, IRCCS Policlinico "S. Matteo" Foundation, Pavia, Italy.
P
P
Canzi
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012465:Salivary Duct Calculi / Q000601:surgery*; D012793:Sialadenitis / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
Endoscopic surgery; Multicentre study; Salivary ducts; Salivary glands; Sialendoscopy; Sialoadenitis; Sialolithiasis