Erkul Evren, Çekin Engin, Güngör Atila
Department of Otorhinolaryngology, University of Health Sciences, Gülhane Medical School, Sultan Abdulhamid Han Training and Research Hospital, İstanbul, Turkey.
Department of Otorhinolaryngology, University of Health Sciences, Sultan Abdulhamid Han Training and Research Hospital, İstanbul, Turkey.
Turk Arch Otorhinolaryngol. 2019 Jun;57(2):75-80. doi: 10.5152/tao.2019.4290. Epub 2019 Jun 1.
We aimed to present the long-term outcomes and sialendoscopic findings in only patients with sialolithiasis and ductal scars in idiopathic chronic recurrent sialadenitis who experienced unsuccessful results with conservative treatment and were treated with sialendoscopy.
We retrospectively analyzed the patients with a diagnosis of only sialolithiasis and ductal scars in chronic recurrent sialadenitis who underwent sialendoscopy between January 2011 and June 2016. We collected clinical and intraoperative data including patient age, sex, date of the procedure, the involved gland, operative findings and complications. Follow-up data included whether the symptoms were resolved or recurred and whether any further procedures were performed.
Of a total of 38 patients, 16 were excluded from the study due to missing clinical or follow-up data, and analysis was conducted on 22 patients. Twelve were diagnosed with sialolithiasis, while the remaining 10 were diagnosed with idiopathic chronic sialadenitis and had ductal scars. Stone sizes ranged from 2 mm to 10 mm. Mean follow-up time was 39.5 months. The final success rate was 100%. Of the 10 patients with ductal scarring, five had scar in the parotid gland duct, and five in the submandibular gland duct. The mean follow-up time of all ductal scar patients was 47.1 months. The final success rate was 70%.
Sialendoscopy is a minimally invasive method for the diagnosis and treatment of sialolithiasis and ductal scars of the salivary glands after failure of conservative treatments in adults.
我们旨在呈现仅患有涎石病和导管瘢痕的特发性慢性复发性涎腺炎患者的长期治疗结果及唾液腺内镜检查结果，这些患者接受保守治疗未成功，随后接受了唾液腺内镜检查。
我们回顾性分析了2011年1月至2016年6月间接受唾液腺内镜检查的慢性复发性涎腺炎患者，这些患者仅被诊断为涎石病和导管瘢痕。我们收集了临床和术中数据，包括患者年龄、性别、手术日期、受累腺体、手术发现及并发症。随访数据包括症状是否缓解或复发以及是否进行了进一步手术。
总共38例患者中，16例因缺少临床或随访数据被排除在研究之外，对22例患者进行了分析。12例被诊断为涎石病，其余10例被诊断为特发性慢性涎腺炎并伴有导管瘢痕。结石大小从2毫米到10毫米不等。平均随访时间为39.5个月。最终成功率为100%。在10例有导管瘢痕的患者中，5例腮腺导管有瘢痕，5例下颌下腺导管有瘢痕。所有导管瘢痕患者的平均随访时间为47.1个月。最终成功率为70%。
唾液腺内镜检查是一种微创方法，用于治疗成人保守治疗失败后的唾液腺涎石病和导管瘢痕。
