Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen, Nuremberg, Germany.
Eur Rev Med Pharmacol Sci. 2020 Mar;24(5):2196-2204. doi: 10.26355/eurrev_202003_20485.
To assess the value of the simultaneous application of ultrasound and sialendoscopy (US+SE) in several salivary gland diseases not caused either by sialolithiasis or by tumours.
US+SE are routinely used in patients with inflammatory, obstructive, and other non-tumorous major salivary gland diseases. In patients in whom US and SE as single investigation tools were not conclusive or not useful in the management of several non-sialolithiasis-related conditions (stenoses, ductal anomalies, ductal trauma, space-occupying paraductal lesions), both methods were used simultaneously for diagnosis and treatment.
US+SE were used simultaneously in 44 patients for 56 indications. Stenosis was managed in 36 cases (81.8%) and in thirty-eight of the indications (67.9%) with simultaneous US+SE. The successful opening was achieved in 23 (63.9%), conservative and/or ablative treatment was indicated in 13 (36.1%), and further imaging was indicated in two (5.5%) of these cases. Post-traumatic or postinfectious complications were managed in 12 (27.3%) of all cases, and isolated ductal anomalies and paraductal space-occupying lesions were assessed in three cases (8.3%) each. In all instances, simultaneous US+SE clearly improved the management in diagnosis and/or therapy.
Simultaneous application of US+SE provided additional information that proved to be valuable for diagnosis, planning, and treatment in several non-sialolithiasis-related conditions such as stenoses, ductal anomalies, ductal trauma, and space-occupying paraductal lesions.
评估超声和唾液腺内镜（US+SE）同时应用于多种非因涎石症或肿瘤引起的唾液腺疾病的价值。
US+SE 常规用于炎症性、阻塞性和其他非肿瘤性大唾液腺疾病患者。对于 US 和 SE 作为单一检查工具不能明确诊断或不能用于处理多种非涎石症相关疾病（狭窄、导管异常、导管创伤、占位性副导管病变）的患者，同时使用这两种方法进行诊断和治疗。
44 例患者的 56 种适应证同时使用了 US+SE。36 例（81.8%）狭窄患者接受了治疗，其中 38 例（67.9%）狭窄患者同时进行了 US+SE 治疗。23 例（63.9%）狭窄患者成功扩张，13 例（36.1%）患者需要进行保守和/或消融治疗，其中 2 例（5.5%）患者需要进一步影像学检查。12 例（27.3%）患者的创伤后或感染后并发症得到处理，3 例（8.3%）患者分别存在孤立性导管异常和副导管占位性病变。在所有情况下，US+SE 的同时应用均明显改善了诊断和/或治疗管理。
US+SE 的同时应用提供了额外的信息，对于多种非涎石症相关疾病（如狭窄、导管异常、导管创伤和占位性副导管病变）的诊断、计划和治疗具有重要价值。
