Erkul Evren, Gillespie M Boyd
Department of Otorhinolaryngology Gulhane Military Medical Academy, Haydarpasa Training Hospital Istanbul Turkey.
Department of Otolaryngology-Head and Neck Surgery Medical University of South Carolina Charleston South Carolina U.S.A.
Laryngoscope Investig Otolaryngol. 2016 Sep 7;1(5):140-145. doi: 10.1002/lio2.33. eCollection 2016 Oct.
Review the current literature on the use of sialendoscopy in the treatment of non-stone disorders of the major salivary glands.
Eligible articles that reported on the use of sialendoscopy in the treatment of non-stone disorders were identified using MEDLINE, Embase, and Google Scholar through May 2016. The search used key words sialendoscopy, salivary endoscopy, salivary scope, salivary duct stenosis, salivary duct stricture, Sjogren's disease, radioiodine sialadenitis, salivary duct obstruction, sialadenitis, chronic sialadenitis, juvenile recurrent parotitis, parotitis, and radiation sialadenitis.
Full-length prospective and retrospective original articles; systemic reviews; and meta-analysis, including adults and children with adequate data for evaluating the sialendoscopy for non-stone disorders, were included. Individual case reports were excluded.
There is an increasing trend for the use of sialendoscopy for salivary obstruction caused by a wide variety of non-stone disorders worldwide. The studies of sialendoscopy for non-stone disorders are often retrospective, of smaller sample size, and more subjective in measurement of patient outcome. The most common indications currently for the procedure are scars, juvenile recurrent parotitis, radioiodine sialadenitis, and Sjögren syndrome, respectively.
Although the initial evidence for the use of sialendoscopy for non-stone disorders is not as established as that for stones, it remains a promising gland-preserving tool in the management of non-stone disorders of major salivary glands.
回顾目前关于涎腺内镜在治疗大唾液腺非结石性疾病中的应用的文献。
通过检索MEDLINE、Embase和谷歌学术，确定截至2016年5月报道涎腺内镜在治疗非结石性疾病中应用的符合条件的文章。检索使用的关键词有涎腺内镜、唾液内镜、唾液镜、唾液导管狭窄、唾液导管狭窄、干燥综合征、放射性碘涎腺炎、唾液导管阻塞、涎腺炎、慢性涎腺炎、青少年复发性腮腺炎、腮腺炎和放射性涎腺炎。
纳入全长前瞻性和回顾性原始文章、系统评价和荟萃分析，包括有足够数据评估涎腺内镜治疗非结石性疾病的成人和儿童。排除个别病例报告。
在全球范围内，涎腺内镜用于治疗由各种非结石性疾病引起的唾液腺阻塞的趋势正在增加。关于涎腺内镜治疗非结石性疾病的研究通常是回顾性的，样本量较小，并且在测量患者结局方面更具主观性。目前该手术最常见的适应证分别是瘢痕、青少年复发性腮腺炎、放射性碘涎腺炎和干燥综合征。
尽管涎腺内镜用于非结石性疾病的初步证据不如用于结石性疾病的确立，但它仍然是治疗大唾液腺非结石性疾病中一种有前景的保留腺体的工具。
