ArticleAnnals of Saudi medicine
Sialendoscopy in the management of obstructive sialadenitis: clinical experience and treatment outcomes.
Article in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundObstructive sialadenitis is a common salivary gland disorder. This retrospective study evaluated the outcomes of sialendoscopy in 90 patients treated between July 2018 and December 2023.
objectiveTo evaluate the success rate, complications, and predictors of treatment outcomes of sialendoscopy in patients with obstructive sialadenitis.
designRetrospective cohort study.
settingSecurity Forces Hospital, Saudi Arabia. PATIENTS AND
methodsA retrospective cohort study was conducted using patient medical records. Patients with obstructive sialadenitis were included.
main outcome measuresSuccess of sialendoscopy, defined as complete endoscopic stone retrieval with confirmed ductal patency on post-retrieval irrigation. Four procedures in which no sialolith was identified intraoperatively were excluded from the stone-retrieval success denominator (n=94 stone-confirmed procedures). SAMPLE SIZE: Ninety patients.
resultsSubmandibular glands accounted for 74% (67/90) of cases. Success rates for complete stone retrieval were 79% (19/24 parotid) and 79% (55/70 submandibular). Key predictors of success included stone size, location, and number: stones >10 mm (OR=0.17, 95% CI: 0.04-0.67;
conclusionIn this one of the larger reported single-centre Saudi series, sialendoscopy demonstrated high success for obstructive sialadenitis, with stone size >10 mm, intraglandular location, and multiplicity as independent failure predictors. These findings support tailored approaches in Middle Eastern populations. LIMITATIONS: Retrospective single-center design, lack of long-term follow-up data, and absence of patient-reported outcome measures.
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