Tissue Engineering & New TechnologiesP-36722453-225Sialoendoscopy in oral and maxillofacial surgery

Abstract

<h3>Objectives</h3> The inflammatory pathology of the salivary glands constitutes one of the most frequent pathologies in maxillofacial diseases. In most cases it has an obstructive origin due to the presence of lithiasis in the path of the excretory duct. Other cases are not due to lithiasis inflammatory disease (recurrent sialadenitis). The emergence and development of sialoendoscopy allows the minimally invasive treatment of these patients with promising results, reducing morbidity, lowering health costs and accelerating the recovery of patients with this pathology. We present our experience in the implementation of this technique in an oral and maxillofacial surgery department. <h3>Results</h3> We present 31 cases of inflammatory glandular disease from September 2018 to September 2021, 25 cases of lithiasis origin, treated by endoscopic lithectomy and 6 cases of chronic non lithiasis sialadenitis treated by means of washes with serum and dilators. In 23 of the 25 cases of lithiasis origin, the lithectomy was achieved with no complications. The cases of failure of the procedure were a lithiasis of 10mm of diameter. The range value of lithiasis diameter was from 3.4 to 8.7mm, and the mean value was 6.3mm. In the cases of non-lithiasis origin the procedure allowed an improvement of its symptomatology. The complications were temporal glandular swelling in 23 cases and post surgical ductal stenosis in 1 case. <h3>Conclusion</h3> Sialoendoscopy can be served as an organ-preserving approach for diagnosis and treatment of inflammatory (obstructive and not obstructive) salivary diseases.