Pediatric sialendoscopy in Asians: A preliminary report

Chin Hui Su, Kuo Sheng Lee, Jui Hsien Hsu, Fei-Peng Lee, Yu Hsiang Lin, Shuan Pei Lin, Shih-Han Hung

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background/purpose The sialendoscopic approach in treating pediatric salivary gland disorders has been reported with great success through the years. Whereas this success has been widely reported in Caucasian populations, relatively little has been reported regarding the use of this procedure in pediatric patients in Asian countries. The purpose of this study is to report our preliminary experience in pediatric sialendoscopy. Methods The data from 20 patients (< 18 years old), who underwent sialendoscopy for obstructive sialoadenitis in the Department of Otorhinolaryngology of Mackay Memorial Hospital between October 2013 and November 2015, were reviewed. Results Twelve of our 20 patients (60%) were diagnosed with sialolithiasis and 8 of our 20 patients (40%) presented with non-lithiasis obstructive sialoadenitis. Ductal stenosis was found in 13 patients, and 18 patients had debris/mucous plug formation. The overall success rate was 95% (19/20) in our series, and 85% (17/20) of the patients had achieved a complete remission after a single sialendoscopy procedure. Conclusions Sialendoscopy is an ideal treatment in the management of obstructive sialoadenitis in Asian pediatric patients. If necessary, Holmium:YAG laser lithotripsy and sialostent placement could be applied, and both procedures are well tolerated in pediatric patients.
Original languageEnglish
Pages (from-to)1684-1687
Number of pages4
JournalJournal of Pediatric Surgery
Volume51
Issue number10
DOIs
Publication statusPublished - Oct 1 2016

Fingerprint

Pediatrics
Sialadenitis
Laser Lithotripsy
Salivary Gland Calculi
Solid-State Lasers
Otolaryngology
Salivary Glands
Pathologic Constriction
Population

Keywords

  • Asian
  • Obstructive sialoadenitis
  • Pediatric
  • Sialendoscopy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Pediatric sialendoscopy in Asians : A preliminary report. / Su, Chin Hui; Lee, Kuo Sheng; Hsu, Jui Hsien; Lee, Fei-Peng; Lin, Yu Hsiang; Lin, Shuan Pei; Hung, Shih-Han.

In: Journal of Pediatric Surgery, Vol. 51, No. 10, 01.10.2016, p. 1684-1687.

Research output: Contribution to journalArticle

Su, Chin Hui ; Lee, Kuo Sheng ; Hsu, Jui Hsien ; Lee, Fei-Peng ; Lin, Yu Hsiang ; Lin, Shuan Pei ; Hung, Shih-Han. / Pediatric sialendoscopy in Asians : A preliminary report. In: Journal of Pediatric Surgery. 2016 ; Vol. 51, No. 10. pp. 1684-1687.
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abstract = "Background/purpose The sialendoscopic approach in treating pediatric salivary gland disorders has been reported with great success through the years. Whereas this success has been widely reported in Caucasian populations, relatively little has been reported regarding the use of this procedure in pediatric patients in Asian countries. The purpose of this study is to report our preliminary experience in pediatric sialendoscopy. Methods The data from 20 patients (< 18 years old), who underwent sialendoscopy for obstructive sialoadenitis in the Department of Otorhinolaryngology of Mackay Memorial Hospital between October 2013 and November 2015, were reviewed. Results Twelve of our 20 patients (60{\%}) were diagnosed with sialolithiasis and 8 of our 20 patients (40{\%}) presented with non-lithiasis obstructive sialoadenitis. Ductal stenosis was found in 13 patients, and 18 patients had debris/mucous plug formation. The overall success rate was 95{\%} (19/20) in our series, and 85{\%} (17/20) of the patients had achieved a complete remission after a single sialendoscopy procedure. Conclusions Sialendoscopy is an ideal treatment in the management of obstructive sialoadenitis in Asian pediatric patients. If necessary, Holmium:YAG laser lithotripsy and sialostent placement could be applied, and both procedures are well tolerated in pediatric patients.",
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