Paediatric submandibular duct sialendoscopy under local anaesthesia: a case series

Area of Science:

• Otolaryngology
• Pediatric Surgery
• Minimally Invasive Procedures

Background:

• Obstructive sialadenitis of the submandibular duct is a condition affecting pediatric patients.
• Traditional treatments may involve more invasive surgical approaches.
• Sialendoscopy offers a minimally invasive alternative for diagnosing and treating salivary gland issues.

Purpose of the Study:

• To report a case series of pediatric patients undergoing sialendoscopy of the submandibular duct.
• To evaluate the feasibility and effectiveness of sialendoscopy under local anesthesia in children.
• To assess the potential of sialendoscopy as a primary treatment for pediatric obstructive sialadenitis.

Main Methods:

• A case series of four pediatric patients was conducted.
• Procedures included diagnostic and interventional sialendoscopy of the submandibular duct.
• Procedures were performed under local anesthesia, with interventions such as basket retrieval and lithotripsy.

Main Results:

• All four pediatric patients successfully tolerated sialendoscopy.
• The procedures were effective in both diagnosis and intervention.
• Specific interventions like basket retrieval and lithotripsy were successfully employed.

Conclusions:

• Sialendoscopy of the submandibular duct under local anesthesia is feasible and effective in pediatric patients.
• This approach can be considered a primary treatment option for pediatric obstructive sialadenitis.
• Minimally invasive sialendoscopy offers a promising alternative for managing submandibular duct obstruction in children.