Sialodochoplasty in the treatment of salivary-duct stricture in chronic sialoadenitis: technique and results

This study was undertaken to investigate peroral balloon angioplasty of salivary-duct strictures (sialodochoplasty) in chronic sialadenitis, analysing the technique, results and limitations. Nine patients underwent sialodochoplasty: seven for Stensen's-duct strictures and two for Wharton's...

Full description

Saved in:
Bibliographic Details
Published in:Radiologia medica 2007-02, Vol.112 (1), p.138-144
Main Authors: Salerno, S, Lo Casto, A, Comparetto, A, Cannizzaro, F, Barresi, B, Speciale, R, Lagalla, R
Format: Article
Language:English
Subjects:
Catheterization - instrumentation
Catheterization - methods
Chronic Disease
Constriction, Pathologic - therapy
Female
Fibrosis
Fluoroscopy
Follow-Up Studies
Humans
Male
Middle Aged
Recurrence
Salivary Duct Calculi - therapy
Salivary Ducts - pathology
Salivary Gland Diseases - therapy
Sialadenitis - complications
Sialadenitis - therapy
Sialography
Treatment Outcome
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This study was undertaken to investigate peroral balloon angioplasty of salivary-duct strictures (sialodochoplasty) in chronic sialadenitis, analysing the technique, results and limitations. Nine patients underwent sialodochoplasty: seven for Stensen's-duct strictures and two for Wharton's-duct strictures. One patient had a double stricture of Stensen's duct and another a salivary stone associated with a Wharton's-duct stricture. All patients were subjected to preliminary sialography to evaluate stricture site, length and grade. Sialodochoplasty was performed after local anaesthesia and progressive dilation of the salivary-duct orifice. The stricture was successfully dilated in 7/9 patients. The stricture was unchanged after dilatation in one patient, and in another, it recurred after 13 months. In the patient with a double stricture of Stensen's duct, one was resolved and the other was only partially dilated, with significant symptom improvement. One patient developed a new episode of sialadenitis after 3 months, which resolved with medical therapy. Five out of seven patients were asymptomatic at follow-up. Sialodochoplasty is an effective procedure in the treatment of salivary-duct strictures, improving symptoms in the majority of patients. The procedure is repeatable and can be proposed as a first-line treatment for symptomatic salivary-duct stricture.
ISSN:0033-8362
1826-6983
DOI:10.1007/s11547-007-0127-7