Possibilities of sialendoscopy in the diagnosis and treatment of various diseases of the salivary glands

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BACKGROUND: Diagnosis and treatment of diseases of the salivary glands remain challenging to dental and maxillofacial surgeons. The development of new therapies remains an urgent task.

The goal is to increase the effectiveness of diagnosis and treatment of patients with various diseases of the salivary glands.

MATERIAL AND METHODS: Sialendoscopy was performed to diagnose and treat 61 patients with various diseases of the salivary glands. The age of the patients ranged from 20 to 94 years; there were 34 women and 27 men. General, specific, and special research methods were used for the preliminary diagnosis.

RESULTS: Sialendoscopy allows the diagnosis or confirms previously established diagnoses of various neoplastic diseases of the salivary glands in 91% of the patients. In 77% of the patients, sialendoscopy was used to completely remove the salivary stones.

CONCLUSION: Sialendoscopy can be an additional method of diagnosis and treatment of non-tumor diseases of the salivary glands and an auxiliary method of diagnosis and treatment during and after lithotripsy of salivary stones.

作者简介

Vasily Аfanasyev

A.I. Evdokimov Moscow State Medical and Dental University

编辑信件的主要联系方式.
Email: prof.afanasjev@yandex.ru
ORCID iD: 0000-0002-9156-7883

MD, Dr. Sci. (Med.), professor

俄罗斯联邦, Moscow

Magomed Abdusalamov

A.I. Evdokimov Moscow State Medical and Dental University

Email: m5061503@mail.ru
ORCID iD: 0000-0003-0605-1565

MD, Dr. Sci. (Med.), professor

俄罗斯联邦, Moscow

Sadik Kurbanov

A.I. Evdokimov Moscow State Medical and Dental University

Email: sadik_2014@mail.ru
ORCID iD: 0000-0003-4412-3873
俄罗斯联邦, Moscow

参考

  1. Katz P. [Endoscopy of the salivary glands]. Ann Radiol (Paris). 1991;34(1–2):110–113.
  2. Iro H, Zenk J, Koch M, Bozzato A. The Erlangen Salivary Gland Project – Part I: Sialendoscopy in Obstructive Diseases of the Major Salivary Glands. Erlangen, Germany: Endo Press; 2015.
  3. Nahlieli O, Baruchin AM. Endoscopic technique for the diagnosis and treatment of obstructive salivary gland diseases. J Oral Maxillofac Surg. 1999;57(12):1394–1401; discussion 1401–1392. doi: 10.1016/s0278-2391(99)90716-4
  4. Faure F, Boem A, Taffin C, et al. Sialendoscopie diagnostique et interventionnelle. Revue de Stomatologie et de Chirurgie Maxillo-faciale. 2005;106(4):250–252. doi: 10.1016/s0035-1768(05)85854-1
  5. Koch M, Mantsopoulos K, Schapher M, et al. Intraductal pneumatic lithotripsy for salivary stones with the StoneBreaker: Preliminary experience. Laryngoscope. 2016;126(7):1545–1550. doi: 10.1002/lary.25849
  6. Afanasiev VV, Abdusalamov MR, Kurbanov CM. Chapter 6. Sialendoscopy. In: Atlas: Khirurgicheskoe lechenie zabolevanii i povrezhdenii slyunnykh zhelez s osnovami sialendoskopii pod obshch. red. V.V. Afanas’eva. Moscow: GEOTAR-Media; 2020. P:180–193. (In Russ).

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2. Fig. 1. Sialendoscopy of the submandibular duct of the salivary gland. The moment of holding and capturing the stone with a wire basket

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3. Fig. 2. Diverticulum with a stone in the area of the posterior submandibular duct (scale 1:2)

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4. Fig. 3. Sialendoscopy. The blood track on the mucosa after lithotripsy (DUVL)

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5. Fig. 4. Sialendoscopy of the submandibular duct of the salivary gland. Fragments of stone after crushing in the duct (DUVL)

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