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Updated: Jun 17, 2026
Standardization of Basket Use in Sialendoscopy: A Ten-Year Retrospective Study
Published on: June 6, 2025
Pediatric sialendoscopy: a 5-year experience at a single institution
Christine Martins-Carvalho1, Isabelle Plouin-Gaudon, Stéphanie Quenin
1Services d'Oto-Rhino-Laryngologie, Centre Hospitalier Universitaire, Hôpital Augustin Morvan, 5 Avenue Foch, 29200 Brest, France. martinscarvalhoc@ymail.com
Insights
Sialendoscopy is effective for diagnosing and treating pediatric salivary gland disorders, offering a minimally invasive approach. This technique accurately identifies conditions like salivary duct stones and inflammation, enabling conservative management.
Area of Science:
- Pediatric Otolaryngology
- Minimally Invasive Surgery
- Pediatric Endoscopy
Background:
- Salivary gland disorders are common in children, presenting diagnostic and therapeutic challenges.
- Traditional management may involve more invasive procedures.
- Sialendoscopy offers a less invasive alternative for evaluating and treating these conditions.
Purpose of the Study:
- To evaluate the outcomes of sialendoscopy in pediatric patients with salivary gland disorders.
- To assess the evolution and efficacy of sialendoscopy techniques in this population.
- To determine the diagnostic accuracy and therapeutic benefits of sialendoscopy.
Main Methods:
- Retrospective review of medical records for 38 children treated between 2003 and 2008.
- Procedures included diagnostic and interventional sialendoscopy under general anesthesia.
- Data collected: demographics, clinical presentation, ultrasonography, sialendoscopy findings, and complications.
Main Results:
- Sialendoscopy was performed on parotid (61%) and submandibular (39%) glands for recurrent swelling, lithiasis, and stenosis.
- 84% of procedures were purely endoscopic; 16% required combined intervention or gland excision.
- Sialendoscopy diagnosed lithiasis (12), stenosis (21), or both (2), with higher accuracy than preoperative ultrasonography for lithiasis.
Conclusions:
- Sialendoscopy is a valuable diagnostic and therapeutic tool for pediatric salivary gland disorders.
- It facilitates conservative management of conditions like sialolithiasis and juvenile recurrent parotitis.
- The technique demonstrates significant diagnostic advantages over traditional imaging for certain conditions.
Objectives:
To evaluate the outcome of our experience in the treatment of salivary gland disorders in children undergoing sialendoscopy and to assess the evolution of the technique.
Design:
Retrospective medical record review.
Setting:
Tertiary care university hospital.
Patients:
Thirty-eight children with salivary gland disorders undergoing diagnostic and interventional sialendoscopy between January 1, 2003, and November 30, 2008.
Intervention:
Diagnostic and interventional sialendoscopy using general anesthesia.
Main Outcome Measures:
Demographic, clinical, and surgical variables, including age, sex, date of first symptoms, parotid or submandibular location of disease, preoperative ultrasonographic results, sialendoscopy technique, sialendoscopy observations, and complications.
Results:
Pediatric sialendoscopy was performed on the parotid gland in 23 patients (61%) and on the submandibular gland in 15 patients (39%). The most frequent indication for sialendoscopy was recurrent salivary gland swelling. Thirty-two of 38 procedures (84%) were performed endoscopically, whereas a combined intervention was necessary for 3 patients and a submandibular gland excision for another 3 patients. Sialendoscopy allowed the diagnosis of 12 patients with salivary duct lithiasis, 21 with salivary duct stenosis, and 2 with both submandibular lithiasis and stenosis, and findings from 3 sialendoscopies were normal. Preoperative ultrasonographic results were confirmed by sialendoscopy in only 7 patients. Of the 10 patients with lithiasis found using sialendoscopy, only 4 had been detected using preoperative ultrasonography.
Conclusions:
Sialendoscopy is a pertinent technique for the diagnosis and treatment of salivary gland disorders in children. It also allows the most conservative treatment of sialolithiasis and juvenile recurrent parotitis.
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