Department of Radiology, Queen Alexandra Hospital, Portsmouth, Portsmouth Hospitals University NHS Trust, PO6 3LY, UK.
Department of Radiology, Queen Alexandra Hospital, Portsmouth, Portsmouth Hospitals University NHS Trust, PO6 3LY, UK.
Br J Oral Maxillofac Surg. 2023 Oct;61(8):547-552. doi: 10.1016/j.bjoms.2023.07.007. Epub 2023 Aug 7.
Obstructive sialadenitis is the most common cause of non-malignant salivary gland disorders, with salivary gland strictures being responsible for approximately 23% of all benign obstructive disease. Significant advances in minimally invasive techniques, including radiologically-guided balloon sialoplasty, offer the potential for successful treatment with reduced complications. At present there is a paucity of follow-up data regarding patient outcomes and repeat interventions in those undergoing the procedure. Patients with parotid or submandibular gland sialadenitis secondary to gland stricture were identified and underwent radiologically-guided balloon sialoplasty at Queen Alexandra Hospital, Portsmouth, UK between 2015 and 2022. Patient outcomes, complications and reintervention rates were recorded prospectively over the seven-year period and analysed retrospectively. A total of 44 patients underwent radiologically-guided balloon sialoplasty. Forty (89%) underwent sialoplasty for parotid gland disease, with a minority (n = 5) receiving an intervention for submandibular gland strictures. A total of 37 (84%) had their obstruction successfully treated (82% of parotid gland obstructions and 100% of submandibular gland obstructions). Five patients (11%) required a repeat intervention. Seventeen successfully treated patients (85%) who attended follow-up clinic appointments described complete resolution of their symptoms, with the remaining three (15%) describing a partial response. Radiologically-guided balloon sialoplasty for the treatment of benign obstructive sialadenitis secondary to a gland stricture is a safe and effective method of eliminating the obstruction and relieving patients' symptoms. Most patients were symptom free at short-term follow up, with a minority requiring a second sialoplastic intervention.
阻塞性涎腺炎是最常见的非恶性涎腺疾病病因，涎腺狭窄约占所有良性阻塞性疾病的 23%。微创技术，包括放射引导下球囊涎腺成形术，取得了显著进展，为减少并发症的成功治疗提供了可能。目前，关于接受该手术的患者的预后和重复干预的数据很少。
在英国朴茨茅斯亚历山德拉皇后医院，2015 年至 2022 年间，对继发于腺体狭窄的腮腺或颌下腺涎腺炎患者进行了放射引导下球囊涎腺成形术。前瞻性记录了七年期间的患者结局、并发症和再干预率，并进行了回顾性分析。
共有 44 例患者接受了放射引导下球囊涎腺成形术。40 例（89%）因腮腺疾病接受涎腺成形术，少数（n=5）因颌下腺狭窄接受干预。37 例（84%）的梗阻得到成功治疗（82%的腮腺梗阻和 100%的颌下腺梗阻）。5 例（11%）需要重复干预。17 例成功治疗并接受随访的患者（85%）自述症状完全缓解，其余 3 例（15%）自述部分缓解。放射引导下球囊涎腺成形术治疗继发于腺体狭窄的良性阻塞性涎腺炎是消除梗阻和缓解患者症状的安全有效方法。大多数患者在短期随访时无症状，少数需要第二次涎腺成形术干预。
