Sialendoscopy as An Alternative Treatment for Sialoliths in Salivary Glands
Juan Mancilla Uribe1* and Diego Fonseca Escobar2
1 DDS, Universidad Andrés Bello, Santiago, Chile.
2 Oral & Maxillofacial surgery resident, Universidad de los Andes, Chile.
*Corresponding Author: Juan Mancilla Uribe, DDS, Universidad Andrés Bello, Santiago, Chile.
DOI: https://doi.org/10.58624/SVOADE.2024.05.0195
Received: September 17, 2024 Published: November 11, 2024
Abstract
Introduction: Salivary gland obstruction affects approximately 1% of the general population. Common symptoms include pain and edema that worsen with eating. Sialolithiasis is responsible for 60%-70% of all salivary gland blockages. Sialendoscopy was first introduced in 1988 and is now established for the diagnosis and treatment of salivary duct disorders.
Objective: The objective of this review is to evaluate and present the treatment of sialadenitis, including the indications, technique, and results of sialendoscopy.
Method: A manual literature review search was carried out in the PubMed and EBSCO databases by two researchers independently, using a combination of keywords and the Boolean terms “Sialolith” AND “Sialendoscope”AND “Sialolithiasis” AND “Salivary gland”
Discussion: Sialendoscopy performed under general anesthesia uses small semi-rigid or semi-flexible endoscopes to access the salivary ducts orally and visualize their lumen. Once the sialolith is found, it is trapped with a basket or clamp. Thus avoiding the removal of the affected gland, which reduces the complications associated with it, nerve damage, salivary fistula, sialocele and aesthetic consequences.
Conclusion: Sialendoscopy is an innovative and minimally invasive technique that proves to be effective in the diagnosis and treatment of sialolithiasis. Complications derived from sialendoscopy were not significant and this procedure may be superior to sialadenectomy, since it preserves the salivary gland.
Keywords: Sialolith, Sialendoscopy, Sialolithiasis, Salivary gland.
Citation: Uribe JM, Escobar DF. Sialendoscopy as An Alternative Treatment for Sialoliths in Salivary Glands. SVOA Dentistry 2024, 5:6, 215-219. doi:10.58624/SVOADE.2024.05.0195
