Effectiveness of sialendoscopy for salivary gland occlusions.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Benjamin Seddighi, Therese Ovesen, Ali Abood
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引用次数: 0

Abstract

Introduction: Minimally invasive procedures using sialendoscopy have emerged as a safer alternative to traditional interventions for non-neoplastic occlusions of the salivary glands. To illuminate the procedure's efficacy, demographics and outcomes of patients undergoing sialendoscopies are presented.

Methods: Retrospective cohort study. Medical files of patients who underwent sialendoscopy at Gødstrup Hospital from 27 October 2018 to 30 June 2023 were reviewed. Surgical success was defined as complete symptom relief and no complications within a three-month follow-up, while surgical failure was defined as any symptoms or complications within the follow-up period.

Results: Complete sialendoscopy was performed in 110 patients of whom 94 attended a follow-up after three months. The mean age at the time of surgery was 44.2 years (95% confidence intervals (CI): 40.3-48.1), and 48.2% were male. Surgical success was achieved in 53 cases with follow-up (56.4% (95% CI: 46.4-66.4%)). Additionally, symptom relief was achieved in another 23 cases, meaning that a total of 76 patients benefited from the procedure (80.9% (95% CI: 72.9-88.8)). Patients with sialolithiasis had a significantly higher surgical success rate, while patients with stenosis had a significantly lower surgical success rate.

Conclusions: The results confirm that sialendoscopy is a safe, effective and feasible procedure for diagnosing and treating non-neoplastic occlusions of the salivary gland. Our findings indicate better results for patients with sialoliths than those with stenosis.

Funding: None.

Trial registration: Not relevant.

涎腺内窥镜检查对涎腺阻塞的疗效。
简介:使用涎内镜的微创手术已经成为传统治疗涎腺非肿瘤性闭塞的一种更安全的方法。为了阐明程序的功效,人口统计资料和结果的患者接受唾液内窥镜提出。方法:回顾性队列研究。回顾了2018年10月27日至2023年6月30日在Gødstrup医院接受鼻内镜检查的患者的医疗档案。手术成功定义为三个月随访期间症状完全缓解且无并发症,手术失败定义为随访期间出现任何症状或并发症。结果:110例患者进行了完整的鼻内镜检查,其中94例在3个月后接受了随访。手术时的平均年龄为44.2岁(95%可信区间(CI): 40.3-48.1), 48.2%为男性。手术成功53例(56.4% (95% CI: 46.4-66.4%))。此外,另外23例患者的症状得到缓解,这意味着总共76例患者受益于该手术(80.9% (95% CI: 72.9-88.8))。涎石症患者手术成功率明显较高,而狭窄患者手术成功率明显较低。结论:涎腺镜检查是一种安全、有效、可行的诊断和治疗非肿瘤性涎腺阻塞的方法。我们的研究结果表明,涎石患者的治疗效果优于狭窄患者。资金:没有。试验注册:不相关。
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
Danish medical journal
Danish medical journal MEDICINE, GENERAL & INTERNAL-
CiteScore
2.30
自引率
6.20%
发文量
78
审稿时长
3-8 weeks
期刊介绍: The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.
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