Endoscopic treatment of salivary glands affected by autoimmune diseases.

Authors:
Rachel Shacham
Rachel Shacham
Barzilai Medical Center
Israel
Max B Puterman
Max B Puterman
Ben-Gurion University of the Negev
Israel
Oded Nahlieli
Oded Nahlieli
Barzilai Medical Center

J Oral Maxillofac Surg 2011 Feb 8;69(2):476-81. Epub 2010 Dec 8.

Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.

Purpose: To asses the possibility of an endoscopic technique to diagnose, treat, and maintain the salivary glands in patients with Sjögren syndrome and systemic lupus erythematosus.

Patients And Methods: A total of 8 patients with Sjögren syndrome and 2 with systemic lupus erythematosus with affected salivary glands were included in the present study. The treatment approach included parotid sialoendoscopy with thorough rinsing, and Stenson's duct dilation using hydrostatic pressure and a high-pressure balloon. Hydrocortisone 100 mg was injected through direct vision into the duct. The study was exempt by the Barzilai Medical Center review board.

Results: The main diagnosis of the patients was chronic recurrent parotitis, with the exception of 1 patient, who presented with salivary stones.

Conclusions: The pathologic features of the salivary glands resulting from Sjögren syndrome and systemic lupus erythematosus can be managed successfully using an endoscopic approach.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.joms.2010.10.002DOI Listing
February 2011
2 Reads

Publication Analysis

Top Keywords

salivary glands
16
syndrome systemic
12
systemic lupus
12
sjögren syndrome
12
patients sjögren
8
lupus erythematosus
8
salivary
5
treatment approach
4
included parotid
4
parotid sialoendoscopy
4
review boardresults
4
main diagnosis
4
boardresults main
4
approach included
4
diagnosis patients
4
chronic recurrent
4
erythematosus salivary
4
glands included
4
patients chronic
4
center review
4

Similar Publications

Endoscopic management of salivary gland obstructive diseases in patients with Sjögren's syndrome.

J Craniomaxillofac Surg 2015 Oct 10;43(8):1643-9. Epub 2015 Jul 10.

Dipartimento Multidisciplinare di Specialità Medico-chirurgiche ed Odontoiatriche, Seconda Università degli Studi di Napoli, Padiglione 3 Lato est - Piazza Miraglia, Napoli, Italy.

Purpose: To evaluate, on the basis of our clinical experience, the reliability of an endoscopic approach to the management of obstructive salivary diseases related to Sjögren's syndrome.

Material And Methods: A retrospective review of all patients affected by Sjögren's syndrome who were followed up at the Maxillo-Facial Unit of the Second University of Naples Hospital and referred from the Reumatology Unit of the same hospital from September 2007 to July 2012 for chronic obstructive sialadenitis unresponsive to medical therapy. A total of 34 patients (29 women and 5 men) were recruited for this study. Read More

View Article
October 2015

Virtual endoscopic view of salivary gland ducts using MR sialography data from three dimension fast asymmetric spin-echo (3D-FASE) sequences: a preliminary study.

Oral Dis 2002 Sep;8(5):268-74

Department of Dental Radiology, Kyushu Dental College, Kitakyushu, Japan.

Objectives: We performed magnetic resonance (MR) sialography of parotid gland and/or submandibular gland ducts using three-dimensional fast asymmetric spin-echo (3D-FASE) sequencing. The objective was to make three-dimensional (3D) reconstruction images and virtual endoscopic views of the parotid gland ducts using MR sialography data sets of 3D-FASE sequences.

Methods: We reviewed the MR sialography data sets with 3D-FASE sequencing of 10 control volunteers and six patients. Read More

View Article
September 2002

[Pathology of the salivary glands].

Rev Prat 2005 Jun;55(11):1261-6

Fédération ORL, CHU Timone, 13385 Marseille 5.

View Article
June 2005

[Salivary gland diseases].

Authors:
H Gudziol

Ther Umsch 1995 Nov;52(11):774-9

Klinikum der Friedrich-Schiller-Universität Jena.

Only about 1% of head and neck tumors are neoplasms of the salivary glands. The majority [80%] of these tumors are benign. Pleomorphic adenomas, the most frequent benign tumors of the salivary glands, can transform into malignancy, especially after a long duration. Read More

View Article
November 1995