Interventional sialendoscopy has become the predominant therapeutic procedure for the management of obstructive salivary disorders, but only a few multicentre studies of large series of patients with a long-term follow-up have been published. This Italian multicentre study involved 1152 patients (553 females; mean age 50 years) who, after at least a clinical and ultrasonographic evaluation, underwent a total of 1342 diagnostic and interventional sialendoscopies, 44.6% of which involved the parotid gland. 12% (n = 138) of patients underwent multiple treatments. The procedure was successful in 1309 cases. In 33 cases (2.4%) the procedure could not be concluded mainly because of complete duct stenosis (21 cases). Salivary stones were the main cause of obstruction (55%), followed by ductal stenosis and anomalies (16%), mucous plugs (14.5%) and sialodochitis (4.7%). Complete therapeutic success was obtained in 92.5% of patients after one or more procedures, and was ineffective in < 8%. Untoward effects (peri and postoperative complications) were observed in 5.4% of cases. Sialendoscopy proved to be an effective, valid and safe procedure in the diagnostic and therapeutic management of non-neoplastic obstructive salivary gland diseases.
Outcomes of interventional sialendoscopy for obstructive salivary gland disorders : an Italian multicentre study = Risultati della scialoendoscopia interventistica nelle patologie ostruttive delle ghiandole salivari : Uno studio multicentrico Italiano / A. Gallo, P. Capaccio, M. Benazzo, L. De Campora, M. De Vincentiis, P. Farneti, M. Fusconi, M. Gaffuri, F. Lo Russo, S. Martellucci, F. Ottaviani, G. Pagliuca, G. Paludetti, E. Pasquini, L. Pignataro, R. Puxeddu, M. Rigante, E. Scarano, S. Sionis, R. Speciale, P. Canzi. - In: ACTA OTORHINOLARYNGOLOGICA ITALICA. - ISSN 0392-100X. - 36:6(2016 Dec), pp. 479-485.
|Titolo:||Outcomes of interventional sialendoscopy for obstructive salivary gland disorders : an Italian multicentre study = Risultati della scialoendoscopia interventistica nelle patologie ostruttive delle ghiandole salivari : Uno studio multicentrico Italiano|
CAPACCIO, PASQUALE (Secondo)
|Parole Chiave:||endoscopic surgery; multicentre study; salivary ducts; salivary glands; sialendoscopy; sialoadenitis; sialolithiasis; otorhinolaryngology2734 pathology and forensic medicine|
|Settore Scientifico Disciplinare:||Settore MED/31 - Otorinolaringoiatria|
|Data di pubblicazione:||dic-2016|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.14639/0392-100X-1221|
|Appare nelle tipologie:||01 - Articolo su periodico|
File in questo prodotto:
|ActaOtorhinolaryngologicaItalica_pp.479_485_2016.pdf||Publisher's version/PDF||Open Access Visualizza/Apri|