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82nd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

01.06. - 05.06.2011, Freiburg

Significance of sialendoscopy for the treatment of sialolithiasis

Meeting Abstract

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  • corresponding author presenting/speaker Nils Klintworth - Hals-, Nasen-, Ohren- Klinik, Kopf- und Halschirurgie, Universitätsklinikum Erlangen, Erlangen, Germany
  • Johannes Zenk - Hals-, Nasen-, Ohren- Klinik, Kopf- und Halschirurgie, Universitätsklinikum Erlangen, Erlangen, Germany
  • Michael Koch - Hals-, Nasen-, Ohren- Klinik, Kopf- und Halschirurgie, Universitätsklinikum Erlangen, Erlangen, Germany
  • Heinrich Iro - Hals-, Nasen-, Ohren- Klinik, Kopf- und Halschirurgie, Universitätsklinikum Erlangen, Erlangen, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 82nd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Freiburg, 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hno66

doi: 10.3205/11hno66, urn:nbn:de:0183-11hno664

Published: August 3, 2011

© 2011 Klintworth et al.
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Outline

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Introduction: Minimal invasive techniques have an increasing relevance for the treatment of sialolithiasis of the parotid and submandibular glands. Sialendoscopy can be used as a diagnostic as well as a therapeutic tool in this context.

Methods: Retrospective data analysis for patients with a sialolithiasis of the parotid and submandibular glands who were treated at our department between 2002 and 2008.

Results: 206 patients were treated because of a sialolithiasis of the parotid gland, 98 (48%) by only endoscopic and 108 (52%) by non-endoscopic means (mainly ESWL, rarely parotidectomy), sometimes combined with sialendoscopy where appropriate. Patients with a sialolithiasis of the submandibular gland (736) were solely treated by sialendoscopy in only 7.5% (55), whereas 92.5% (681) received a minimal invasive or surgical treatment (slitting of submandibular duct in the majority of cases, rarely submandibulectomy), often however combined with a sialendoscopic examination.

The follow up analysis showed that 93% of the endoscopically treated patients (both parotid and submandibular sialolithiasis) were free of symptoms, whereas 90% and 79% of the patients with sialolithiasis of the submandibular and parotid glands, respectively, that were treated by non-endoscopic means, did not report disease specific complaints.

Conclusions: Sialendoscopy is an important diagnostic tool in the management of chronic (obstructive) sialadenitis. Furthermore, it can be effectively used therapeutically in selected cases depending on number, size and localization of the stones or can complement other techniques (e.g. duct slitting, transcutaneous stone removal).