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Standardization of Basket Use in Sialendoscopy: A Ten-Year Retrospective Study
Published on: June 6, 2025
Selective management of obstructive submandibular sialadenitis
1Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao-tong University Medical College, 639 Zhi-zao-ju Road, Shanghai 200011, PR China. ycq616@hotmail.com
The British Journal of Oral & Maxillofacial Surgery
|August 21, 2007
Summary
Surgical and sialoendoscopic techniques effectively treat chronic obstructive submandibular sialadenitis. Both methods showed high success rates in removing sialoliths and relieving obstructive symptoms.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Chronic obstructive submandibular sialadenitis presents diagnostic and therapeutic challenges.
- Sialolithiasis is a common cause of submandibular gland obstruction.
Purpose of the Study:
- To evaluate the efficacy of surgical and sialoendoscopic techniques for diagnosing and treating chronic obstructive submandibular sialadenitis.
- To compare the outcomes of interventional sialoendoscopy versus surgical excision.
Main Methods:
- A cohort of 68 patients with obstructive symptoms underwent diagnosis and treatment between January 2004 and June 2006.
- Diagnosis involved radiography followed by diagnostic sialoendoscopy if sialoliths were not visualized.
- Treatment decisions (interventional sialoendoscopy or surgical excision) were based on sialolith characteristics.
Main Results:
- Radiographic sialoliths were identified in 49 patients; endoscopic visualization revealed radiolucent stones, branch stones, mucus plugs, and stenotic lesions.
- Surgical excision achieved a 87% success rate (27/31) in removing obstructions.
- Interventional sialoendoscopy successfully removed sialoliths in 81% of cases (22/27), and relieved symptoms in 90% of cases without stones.
Conclusions:
- Both surgical excision and interventional sialoendoscopy are viable treatment options for submandibular gland obstruction.
- Sialoendoscopy offers a minimally invasive approach for diagnosis and treatment of sialadenitis.
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It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
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