Sialendoscopy combined with transoral sialodochoplasty for treatment of parotid duct stenosis with megaduct.
Clin Exp Otorhinolaryngol. 2021 Jan 14;:
Authors: Shin GC, Kim J, Lee SJ, Kang MS, Ahn SJ, Lim JY
Abstract
This study aimed to analyze the surgical outcomes of sialendoscopy combined with transoral sialodochoplasty for the treatment of patients with parotid duct stenosis with megaduct. This study included 13 patients with chronic obstructive sialadenitis caused by type 2 parotid duct stenosis who underwent transoral sialodochoplasty. All patients completed a three-point Likert-type rating scale at 3 months after surgery. Six (46.2%) glands showed complete resolution, and seven (53.8%) showed partial resolution of obstructive symptoms. Megaduct diameter between pre- and postoperative MR sialography significantly decreased after transoral sialodochoplasty (8.05 ± 2.67 vs. 4.15 ± 2.4, P = 0.028). Saliva excretion was improved after the transoral sialodochoplasty, as the distal ducts were visualized with a sialagogue postoperatively. Type 2 parotid duct stenosis can be successfully treated with sialendoscopy combined with sialodochoplasty. In cases of large megaduct, transoral sialo dochoplasty appears to offer benefits of reducing the diameter of dilated megaducts and improving salivary outflow.
PMID: 33541036 [PubMed - as supplied by publisher]
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