Predictors of Success in Sialendoscopy

Year 2021, Volume: 74 Issue: S1 , 59 - 64 , 27.04.2026

Levent Yücel , Zahide Çiler Büyükatalay , Ozan Özgürsoy

https://izlik.org/JA94CD95UE

Abstract

Objectives: Sialolithiasis accounts for about 50% of major salivary gland diseases. Sialendoscopy allows direct visualization of the salivary duct
through a small-caliber endoscope and treatment of sialolithiasis. In spite of developing technologies and techniques, there may be some difficulties
or limitations in the sialendoscopic approach. The purpose of this study is to evaluate the outcomes of sialendoscopic procedures at our department.
Materials and Methods: Medical records of 34 patients, who underwent sialendoscopy between December 2015 and September 2018, were
retrospectively reviewed, and surgical data, success rates, stone characteristics and complications were noted.
Results: Sialendoscopy was performed in the submandibular gland in 26 (76.5%) patients and in the parotid gland in the remaining 8 (23.5%)
patients. The mean sialolith size and number were 6.5 mm and 1.5, respectively. The sialoliths were located in the duct in 22 (64.7%) patients and in
the hilum in 12 (35.3%) patients. The sialoliths were mobile in 15 (44.1%) patients and immobile in 11 (32.4%) patients. Diagnostic and therapeutic
sialendoscopy were successfully performed in 33 (97.1%) patients and 25 (73.5%) patients, respectively. There was not statistically significant
difference between success rates and sialolith dimensions (p>0.05); however, a statistically significant difference was found between success rates
when the localization and mobility of sialoliths were taken into account (p=0.004, p=0.018).
Conclusion: Sialendoscopy is a minimally invasive and reliable surgical technique in the treatment of sialolithiasis, which can be affected by many
factors such as size, localization, mobility, number of sialoliths, surgeon’s experience, and the availability of the sialendoscopic equipment.

Keywords

diagnosis , Therapeutics , endoscopy

References

• Yücel, L., Büyükatalay, Z. Ç., & Özgürsoy, O. B. (2021). Predictors of success in sialendoscopy. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 74(Suppl 1), 59-64. DOI: 10.4274/atfm.galenos.2021.83723