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Standardization of Basket Use in Sialendoscopy: A Ten-Year Retrospective Study
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Sialendoscopy under conscious sedation versus general anesthesia. A comparative study.

Naif Bawazeer1, Jean Carvalho2, Idir Djennaoui2

  • 1Department of Otolaryngology-Head & Neck Surgery, Umm Al-Qura University, Saudi Arabia.

American Journal of Otolaryngology
|September 18, 2018
PubMed
Summary

Sialendoscopy is effective for salivary stones under conscious sedation (CS) or general anesthesia (GA). Both methods show good outcomes, with CS being well-tolerated, suggesting anesthesia choice depends on patient and surgeon preference.

Keywords:
Conscious sedationGeneral anesthesiaSialendoscopyStenosisStone

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Area of Science:

  • Otolaryngology
  • Minimally Invasive Surgery
  • Anesthesiology

Background:

  • Sialendoscopy is an emerging minimally invasive technique for salivary gland issues.
  • Optimal anesthetic management for sialendoscopy remains under investigation.

Purpose of the Study:

  • To compare the outcomes of sialendoscopy performed under conscious sedation (CS) versus general anesthesia (GA).
  • To evaluate the limitations and effectiveness of CS for sialendoscopy.

Main Methods:

  • Retrospective analysis of 70 patients undergoing sialendoscopy (2014-2016).
  • Comparison between 34 patients under GA and 36 patients under CS.
  • Data analyzed included operative time, stone characteristics, tolerability, success rates, and post-operative pain.

Main Results:

  • Operative success rates were comparable: 79.4% for GA vs. 88.9% for CS (P=0.276).
  • Complication rates were similar between the two anesthetic groups.
  • All patients undergoing CS reported good tolerability.

Conclusions:

  • Sialendoscopy under both CS and GA effectively treats salivary stones, including large and distal ones.
  • Anesthesia selection should consider surgeon and patient preference.
  • Patient reassurance and surgeon experience are key factors for successful CS sialendoscopy.