gms | German Medical Science

81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

12.05. - 16.05.2010, Wiesbaden

Sialendoscopy and intraductal application of prednisone as a symptomatical treatment of Sjoegren`s disease

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno106

DOI: 10.3205/10hno106, URN: urn:nbn:de:0183-10hno1069

Veröffentlicht: 6. Juli 2010

© 2010 Krämer et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Morbus Sjoegren is an idiopathic autoimmune disease. Therapy is symptomatic. Patients wirth Sjoegren`s disease are often treated by otolaryngologists because of sialadenopathy of the salivary glands and dryness of the oral mucosa.

Method: A unilateral superficial parotidectomy was performed on a patient with recurrent sialadenopathy of the parotid glands. However symptoms continued postoperatively. Histology was benign. Afte the diagnosis of uveitis was confirmed, Sjoegren`s disease was suggested. Biopsy of the oral mucosa confirmed the diagnosis of Sjoegren`s disease. A sialendoscopy of the parotid glands was then performed due to treatment failure with previous procedures.

Material and results: The sialendoscopy showed inflammation of the stenon ducts without any lobe atrophy. The ducts were then flushed with prednisone solution. The parotid glands were temporarily swollen postoperatively for a period of 24 hours. After that the patient was free of symptoms for the last 6 months.

Conclusions: Intraductal application of prednisone seems to be an alternative symptomatic treatment of Sjoegren`s disease with similar results as in the treatment of postradiogenic sialadenosis of the parotid glands.


References

1.
Beutner S, Meyer E. Sialendoskopie bei 24 Patienten bei postradiogenen Sialadenosen. HNO. 2009;12:347- 352.