Recurrent obstructive salivary disease after sialendoscopy. A narrative literature review

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Abstract

SUMMARY Over the last 20 years, interventional sialendoscopy has become the therapy of choice for the management of obstructive salivary disorders, favouring a significant reduction in the number of patients undergoing traditional sialadenectomy. The overall success rate of sialendoscopy is around 90% as reported by the largest case series published; recurrence is expected in about 10% of cases, and the patient should be informed about the possibility to undergo further conservative procedures to improve symptoms. Adequate pre-operative assessment, based on ultrasonography, cone beam 3D CT and MR-sialography, is manda-tory to reduce the risk of unsuccessful procedures and, therefore, recurrence of obstructive sialadenitis; moreover, in case of recurrence, the surgeon should be experienced enough to manage these cases and be able to perform additional interventions, such as transoral/ transfacial sialendoscopy-assisted procedures and imaging-assisted procedures in case of difficult anatomical situations. Botulinum toxin injection and traditional sialadenectomy would be considered as possible salvage treatments in case of failure of all conservative approaches.

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APA

Capaccio, P., Gaffuri, M., Canzi, P., & Pignataro, L. (2023). Recurrent obstructive salivary disease after sialendoscopy. A narrative literature review. Acta Otorhinolaryngologica Italica, 43, S95–S102. https://doi.org/10.14639/0392-100X-suppl.1-43-2023-12

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