Abstract

Objective: During sialendoscopic procedures a constant irrigation of saline is required to achieve an effective dilatation of the ducts. The aim of this study is to evaluate the efficacy and safety of a technique to dilate the duct using a cost-effective device that allows a continuous irrigation at a constant pressure. Method: In this prospective study 18 consecutive patients with submandibular or parotid sialadenitis were included. In Group A, 9 patients underwent dilatation of the duct using a balloon inflation device, while in Group B dilatations were performed using a manual irrigation. After each procedure, the surgical team expressed an overall evaluation. Results: Sialoliths, strictures, and mucous plugs were visualized and managed in all patients. Any kind of complication was recorded. The technique of irrigation adopted in Group A obtained a subjective assessment higher than that used in Group B. Conclusion: This irrigation device allows a simple, safe, and cost-effective dilation ensuring good visualization of the salivary duct lumen during sialoendoscopy.

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