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Gland-Preserving Sialendoscopy for Chronic Sialadenitis: A Case Report on Rapid Recovery and Functional Outcomes

Shohreh Ghasemi*

DDS, MSc of Trauma and Craniofacial Reconstruction,Queen Mary College, London, England

*Corresponding author

*Shohreh Ghasemi DDS, MSc of Trauma and Craniofacial Reconstruction,Queen Mary College, London, England

Abstract

Sialendoscopy is a minimally invasive diagnostic and therapeutic technique for obstructive salivary gland diseases. This case report presents a 47-year-old patient with recurrent submandibular swelling managed effectively via sialendoscopy. The approach preserved gland function, minimized recovery time, and avoided external scarring, highlighting its value in modern salivary gland surgery.

Presentation of a Clinical case

A 47-year-old male presented with intermittent swelling and pain in the left submandibular region, especially during meals. Ultrasound revealed ductal dilation and suspected sialolithiasis. The patient had no significant medical history.

Sialendoscopy was performed under local anesthesia. A 1.3 mm sialendoscope identified and retrieved a small stone near the Wharton's duct hilum. No incision was required.

Outcomes

- Recovery time: Within 48 hours, the patient reported resolution of symptoms.
- Scarring: No external incision or scar formation.
- Nerve integrity: Lingual and hypoglossal nerves preserved; no postoperative paresthesia.
- Gland function: Normal salivary flow observed postoperatively.
- Diet: Patient returned to a regular diet within 24 hours.

Discussion

Sialendoscopy offers a gland-preserving alternative to traditional excision. Advantages include:
- No external incision, eliminating scarring risks
- Minimized nerve damage due to direct ductal visualization
- Early functional recovery and high patient satisfaction

This aligns with emerging standards of minimally invasive head and neck surgery prioritizing organ function and aesthetics.

Conclusion

Sialendoscopy is a safe, effective, and minimally invasive option for managing obstructive sialadenitis, offering excellent functional and cosmetic outcomes.

REFERENCES

  1. Nahlieli O, Baruchin AM (2000) Sialoendoscopy: Three years of experience as a diagnostic and treatment modality. Journal of Oral and Maxillofacial Surger 58(9): 911–916.
  2. Luers JC, Damm M, Klussmann JP, Beutner D (2010) Sialendoscopy: Prognostic factors for endoscopic removal of salivary stones. Archives of Otolaryngology–Head & Neck Surgery, 136(12): 1320–1328.
  3. Zenk J, Koch M, Klintworth N, König B, Konz K, Gillespie MB, Iro H (2012) Sialoendoscopy in the diagnosis and treatment of sialolithiasis: A study on more than 1000 patients. Otolaryngology–Head and Neck Surgery 147(5): 856–863.

JCMCRI
ISSN: 3064-8025

Journal of Clinical & Medical Case Reports, Images (JCMCRI) ISSN: 3064-8025 is a peer-reviewed journal dedicated to publishing clinical images from all sectors of medicine. The goal of this magazine is to disseminate information about new discoveries and treatments in science and medicine.

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