SIALOENDOSCOPY- OUR PREMILINARY EXPERIENCE IN A PILOT STUDY

Abstract

Obstructive sialadenitis is the most common non-neoplastic disease of major salivary glands. Previously many of these patients were undiagnosed cases of recurrent sialoadenitis and underwent unnecessary gland excision. In recent time with technical advancement sialendoscopy is increasingly used in both diagnosis and treatment of Salivary gland obstructive pathology. In this case series we are doing the retrospective study of our patients, in which sialendoscopy was done in last one year. Of 12 patients, 10 patients were having disease in submandibular gland, and 2 patients in parotid gland. All the patients were having obstructive pathology. In 5 patients stone removal was done by Dornia basket, and 3 patients required doing the papillotomy for stone removal. In 3 patients stone removal was not possible, due to large size of stone and required gland removal, and one patient was having stricture of submandibular duct, stenting failed, so gland removal was done. Obstructive sialadenitis can be managed purely endoscopically or in a combined modality, with success, which may avoid the gland removal