Management of Chronic Sialadenitis due to Sjogren's Syndrome and Radioactive Iodine Therapy Using Sialendoscopy.

IF 2 4区医学 Q2 OTORHINOLARYNGOLOGY

Orl-Journal for Oto-Rhino-Laryngology Head and Neck Surgery Pub Date : 2023-01-01 DOI:10.1159/000525217

Jennifer E Douglas, Christopher Z Wen, W Walsh Thomas, Mohamed Elrakhawy, Christopher H Rassekh

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引用次数: 4

Abstract

Introduction: Sialendoscopy is a minimally invasive technique for the management of salivary gland disease. This work characterizes its utility for treating chronic sialadenitis due to Sjogren's syndrome and radioactive iodine (RAI) therapy.

Methods: A single-center, retrospective review of patients undergoing sialendoscopy between March 2013 and May 2019 for the treatment of chronic sialadenitis due to Sjogren's or prior RAI therapy was performed.

Results: Thirty-four patients with Sjogren's and 25 patients who received RAI were identified, undergoing a total of 86 procedures. Median age at presentation was 53 years with mean follow-up time of 14.3 months. Seventy-two procedures were performed on the parotid gland, four on the submandibular gland, and ten on both glands. Corticosteroid injection and duct dilation were performed most commonly. Sixteen patients required repeat procedure. All patients were symptomatically improved at follow-up visit.

Discussion/conclusion: These results support the idea that sialendoscopy offers symptomatic benefit for patients with chronic sialadenitis due to Sjogren's or RAI.

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干燥综合征所致慢性涎腺炎的鼻内镜治疗及放射性碘治疗。

简介:涎内窥镜检查是一种治疗唾液腺疾病的微创技术。这项工作的特点是它的效用治疗慢性涎腺炎由于干燥综合征和放射性碘(RAI)治疗。方法:对2013年3月至2019年5月期间因干燥病或既往RAI治疗而接受鼻内镜检查的慢性涎腺炎患者进行单中心回顾性分析。结果:34例干燥症患者和25例接受RAI的患者被确定，共进行了86次手术。中位发病年龄为53岁，平均随访时间14.3个月。72例腮腺手术，4例颌下腺手术，10例双腺手术。最常见的是皮质类固醇注射和导管扩张。16例患者需要重复手术。所有患者在随访时症状均得到改善。讨论/结论:这些结果支持涎腺内窥镜检查对由干燥病或RAI引起的慢性涎腺炎患者有症状性益处的观点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orl-Journal for Oto-Rhino-Laryngology Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

2.80

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： ''ORL'' contains concise, original scientific papers of interest for both clinicians and researchers in oto-rhino-laryngology and head and neck surgery. Contributions drawn from the basic sciences cover new knowledge on the anatomy, pathology, pathophysiology, immunology and tumor biology of head and neck and the auditory and vestibular system, the salivary glands, paranasal sinuses and of the organs of the upper respiratory and digestive tract. The practical value of the journal is accentuated by reports of clinical progress in diagnosis and therapy.