Device failure in sialoendoscopy: Intraoperative practical decision-making.

Area of Science:

• Otolaryngology
• Minimally Invasive Surgery

Background:

• Sialoendoscopy is a diagnostic and therapeutic tool for salivary gland disorders.
• It serves as an alternative to gland excision for recurrent sialoadenitis and sialolithiasis.

Observation:

• A case of submandibular stone removal via sialoendoscopy experienced unusual device failure.
• This complication resulted in avulsion of Wharton's duct.

Findings:

• Sialoendoscopy is generally safe and effective for non-neoplastic salivary gland conditions.
• Ductal avulsion, though rare, can occur during mechanical procedures like stone removal.
• Failure to release a stone from the endoscopic basket is a rare but serious complication.

Implications:

• This case underscores the importance of device integrity and careful technique during sialoendoscopy.
• Awareness of potential complications like ductal avulsion is crucial for managing salivary gland stones.
• Further research may focus on improving device safety and management protocols for rare sialoendoscopy complications.