Resumo

KANA, N  e  MAHARAJ, S. The evolution of sialendoscopy in clinical practice. S. Afr. dent. j. [online]. 2019, vol.74, n.9, pp.485-490. ISSN 0375-1562.  http://dx.doi.org/10.17159/2519-0105/2019/v74no9a2.

Sialendoscopy is a relatively new technique first described by Katz et al. in 1991.¹ The technique of sialendoscopy entails using semirigid endoscopes to cannulate and view the interior of salivary ducts and to manage obstructions within these ducts. This technique provides a minimally invasive alternative to the traditional very invasive techniques of salivary gland excision. It can be used as a diagnostic instrument and as a therapeutic intervention for various causes of salivary duct obstruction. The objective of this research report was to assess the outcomes of sialendoscopy, performed over a 10-year period from 2008 and 2018 in a private practice setting in South Africa. The outcomes of sialendoscopy as a therapeutic intervention were compared for different aetiologies of salivary duct obstruction. A therapeutic sialendoscopy was deemed successful if after the obstruction was treated, the patient remained asymptomatic at follow up and if no complications ensued during sialendoscopy. The success rate in this study was 73.3%. The cases that were considered failures were due to excessive bleeding, abscess formation and failure of calculus retrieval. Despite our small sample size, it appears that sialendoscopy offers good outcomes for both the diagnosis and the treatment of the majority of cases of salivary ductal obstruction and that it is the gold standard for the first line management of this pathology.

Palavras-chave : Sialendoscopy; sialadenectomy.

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