Parotid Gland Intraoral Dilation of Strictures

Feb 24, 2020 by in OTOLARYNGOLOGY Comments Off on Parotid Gland Intraoral Dilation of Strictures

Introduction Salivary ductal stenosis is a common cause of parotid gland obstruction. In the past, parotid strictures had been treated with sialography-guided balloon dilation. A number of case series demonstrated…

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Stenting/Marsupialization

Feb 24, 2020 by in OTOLARYNGOLOGY Comments Off on Stenting/Marsupialization

Introduction After procedures for stone retrieval, both stent placement and performing a marsupialization reduces the risk of stricture to the duct or papilla. Salivary flow during the healing process is…

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Interventional Sialendoscopy: Complications

Feb 24, 2020 by in OTOLARYNGOLOGY Comments Off on Interventional Sialendoscopy: Complications

Introduction The widespread adoption of sialendoscopy is largely due to successful management of patient symptoms (~70–80%) and gland preservation (~95%) that avoids the potential serious complications of gland extirpation. This…

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Submandibular Gland Duct Strictures

Feb 24, 2020 by in OTOLARYNGOLOGY Comments Off on Submandibular Gland Duct Strictures

Submandibular Strictures Obstructive submandibular sialadenitis is characterized by recurrent swelling during meal time, reduced or absent saliva secretion from the affected gland, without a concomitant reduction in saliva production, followed…

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Benign Tumors

Feb 24, 2020 by in OTOLARYNGOLOGY Comments Off on Benign Tumors

34.1 Pleomorphic Adenoma Pleomorphic Adenoma Pleomorphic adenoma (PA) is an enigmatic tumor with a variety of names, including adenoma multiforme and benign mixed tumor. It is one of 15 benign…

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Sialendoscopy for Stenosis: Complications

Feb 24, 2020 by in OTOLARYNGOLOGY Comments Off on Sialendoscopy for Stenosis: Complications

Introduction Ductal stenosis produces symptoms of obstruction once luminal diameter is reduced below 1.6 mm (~30% loss of diameter) when fully dilated. Unlike stones, ductal stenosis is more common in the…

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Salivary Stents for Stenosis

Feb 24, 2020 by in OTOLARYNGOLOGY Comments Off on Salivary Stents for Stenosis

Introduction Interventional sialendoscopy has evolved into a range of endoscopic approaches and combined (transoral and external) approaches to manage salivary stones and ductal stenosis in an effort to facilitate gland…

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Sialendoscopy for Sjögren Syndrome

Feb 24, 2020 by in OTOLARYNGOLOGY Comments Off on Sialendoscopy for Sjögren Syndrome

Sjögren syndrome (SS) is a systemic autoimmune disease primarily affecting the salivary and lacrimal glands resulting in dry eyes, dry mouth, and salivary gland swellings. SS may occur primarily or…

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