Retrospective evaluation of interventional sialendoscopy cases performed under general anesthesia

Abstract

This retrospective analysis investigated the impact of interventional sialendoscopy in the management of sialolithiasis. The study included 118 patients who underwent sialoendoscopic intervention under general anesthesia for sialolithiasis between August 2015 and November 2022. Demographic and clinical parameters were collected, and preoperative imaging findings were reviewed. The majority of cases presented with submandibular gland (SMG) sialolithiasis (70.3%) compared to parotid gland (PG) sialolithiasis (29.7%). Swelling and pain were the most common complaints among patients. Stone size was not found to be a significant factor in treatment success, while stone localization and ductal stenosis played crucial roles. Stone fragmentation was achieved using Holmium:YAG (Ho/YAG) laser and pneumatic lithotripsy, with an average surgical duration of approximately 1.8 hours for SMG sialolithiasis and 1.5 hours for PG sialolithiasis. Combined approaches were employed in cases where stones were located anterior to the hilum. Treatment success rates were comparable between Ho/YAG laser and pneumatic lithotripsy. The study highlights the importance of preoperative imaging and suggests that interventional sialendoscopy, with its organ-preserving techniques, offers an effective approach for sialolithiasis management. Further research examining stone localization and ductal pathology is needed to optimize treatment selection and improve patient outcomes. [Med-Science 2024; 13(3.000): 519-26]

Keywords

• sialolithiasis
• interventional sialendoscopy
• ho/yag laser
• pneumatic lithotripsy
• combined approach