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Year : 2016  |  Volume : 18  |  Issue : 2  |  Page : 53-57

Sialoendoscopy: A retrospective review of our outcomes

1 HOD and Consultant, Department of Otorhinolaryngology, BDF Hospital, Kingdom of Bahrain
2 Senior resident, Department of Otorhinolaryngology, BDF Hospital, Kingdom of Bahrain
3 Resident, Department of Otorhinolaryngology, BDF Hospital, Kingdom of Bahrain

Correspondence Address:
MBBS Muneera Alkhalifa
Department of Otorhinolaryngology, BDF Hospital
Kingdom of Bahrain
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.275264

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Sialopathologies are among the most interesting cases an otorhinolaryngologist frequently deals with. Sialendoscopy is an image-guided minimally invasive technology utilizing miniature endoscopes and variety of instruments suited to deal with salivary gland pathologies in incision less manner. It can be applied in diagnostic and interventional manner. In our current study we aim to review the different type of pathologies encountered in our practice and the overall outcome for the different sialendoscopic interventional modalities utilized. Setting: Retrospective observational study. Materials and Methods: All the traceable medical records of patients who underwent sialendoscopy between March 2008 and October 2015 were reviewed and data were analyzed in respect to demographic nature of cases, salivary glands affected, type of pathologies encountered, treatment modalities used and operative details. Results: Thirty-four glands in 33 patients who underwent sialoendoscopy were reviewed with 1.7:1 female to male ratio, mean age was found to be 43 years (7-81 years). Average stone size 5.7mm. In our series, diagnostic and therapeutic outcomes were quite satisfactory with success rates of 97% and 82.3% respectively. Laser sialo- lithotripsy was used successfully in 5 cases (14.7%) while combined approach was successfully utilized in 9 cases (26.5%). Minor complications encountered in 15% of cases included basket impaction in 2 cases (5.9%) and postoperative infection in 3 cases (8.8%). Single case of major complication airway obstruction (2.9%) encountered early in adopting the technology. All complications were managed successful with no long lasting morbidity. Conclusion: Sialoendoscopy is an effective and safe minimal invasive technique than can be utilized for diagnostic and therapeutic purposes.

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