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Updated: Sep 18, 2025
Standardization of Basket Use in Sialendoscopy: A Ten-Year Retrospective Study
Published on: June 6, 2025
Standardization of Basket Use in Sialendoscopy: A Ten-Year Retrospective Study
Giulianno Molina de Melo1, Murilo Catafesta das Neves2, Marcello Rosano2
1Department of Otorhinolaryngology and Surgery in Head and Neck, Federal University of São Paulo / Paulista School of Medicine (UNIFESP/EPM); Department of Head and Neck Surgery, Beneficencia Portuguesa of Sao Paulo Hospital; giuliannomolina@gmail.com.
Sialolithiasis treatment using sialendoscopy with basket instruments effectively removes salivary stones. This standardized approach ensures high success rates and minimal complications for obstructive salivary gland disease.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Gastroenterology
Background:
- Sialolithiasis, a common cause of salivary gland obstruction, affects submandibular and parotid glands.
- Sialendoscopy with micro-instruments offers an effective treatment for intraductal sialolithiasis.
- Standardization of sialendoscopy techniques is crucial for optimal patient outcomes.
Purpose of the Study:
- To standardize the basic steps for successful intraductal sialolithiasis removal using a basket instrument.
- To review a 10-year retrospective series of sialendoscopy procedures for sialolithiasis.
- To evaluate the efficacy and safety of basket-assisted sialendoscopy.
Main Methods:
- A 10-year retrospective analysis (Jan 2014-June 2024) of patients undergoing sialendoscopy for sialolithiasis.
- Use of a semi-rigid modular sialendoscope with micro-instruments, including various basket types.
- Standardized procedure involving stone localization, evaluation, size estimation, basket selection, and approach technique.
Main Results:
- 224 sialendoscopies performed, 84.4% for sialolithiasis; 132 cases (69.8%) utilized pure sialendoscopy with basket removal.
- Successful sialolith removal achieved in all cases with 0% major complications.
- The submandibular gland was the most commonly affected (68.9%), with single stones being prevalent (65.9%).
Conclusions:
- Standardized use of basket instruments during sialendoscopy is essential for high success rates in sialolithiasis removal.
- Basket-assisted sialendoscopy is a safe and effective treatment for obstructive salivary gland disease.
- This technique improves patient quality of life by resolving ductal stones.
