Sialendoscopy: Our experience
Journal Title: Medpulse International Journal of ENT - Year 2019, Vol 9, Issue 3
Abstract
Background: We encounter various disorders of salivary glands mainly they are either neoplastic or non-neoplastic. Among non-neoplastic they are divided in acute and chronic sialadenitis. Major Salivary glands secrete through their respective ducts, pathology involving these ducts are major etiological factor behind chronic non neoplastic sialadenitis. Sialendoscopy is a miniature endoscope which allows us to approach the salivary duct through its opening. Methods: This research was carried out on all patients visiting ENT OPD with chronic non neoplastic salivary lesion with symptoms more than 1 month who were subjected to sialendoscopy. All patient’s data including age, sex, complaints with duration, site and side of lesion, sialendoscopy findings with routine ENT examination were recorded. Data of last one year were analysed and concluded. Results: among 20 patients who underwent sialendoscopy we found diagnostic sensitivity of 90.9%. with sialendoscopy we found sialolithiasis in 65% cases while ductal stricture was found in only 5% cases. Male and female were equally affected with middle age group of 16-50years having maximum number of cases. Conclusions: Salivary gland lesion incidence are not so common but they cause significant discomfort to an individual. Among them chronic disorders were treated with gland removal in neoplastic as well as non-neoplastic conditions. Sialolithiasis found to be most common cause of chronic non neoplastic sialadenitis. With advent of sialendoscopy we can accurately diagnose non neoplastic disorder and as well as treat them with good result and in this way we can preserve the gland. So sialendoscopy is a good tool to manage non neoplastic chronic sialadenitis.
Authors and Affiliations
Hiren Soni, Nimisha Nimkar
Keywords
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