Post-sialendoscopy ductoplasty by salivary duct stent placements

Chin Hui Su, Kuo Sheng Lee, Te Ming Tseng, Shih Han Hung

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

With damage to a duct or papilla after sialendoscopy, a stent may be necessary to prevent re-stenosis and for maintaining the salivary duct open after complete sialendoscopy. However factors affecting outcomes and complications after stent placement remain unclear. This study aimed to report preliminary experiences in salivary duct stent placement after sialendoscopy. Data from 35 procedures in 33 patients who received sialendoscopy with salivary duct stent placements at Mackay Memorial Hospital between October 2013 and June 2014 were recorded and compared for clinical data, as well as procedural techniques, findings, and outcomes. In the 35 stent placement procedures, the hypospadias silastic stent tubes were used in 27 and the Fr. 5 pediatric feeding tubes were used in the remaining eight. When the hypospadias silastic stent tubes were used for stenting, the stent obstruction and irritation rates were higher compared to those who used the Fr. 5 pediatric feeding tube (100 vs. 0 % and 67 vs. 33 %, respectively). None of the stents secured by a 5-0 nylon suture were complicated by dislocation but when the stents were secured by 6-0 nylon sutures, the dislocation rate went as high as 47.4 %. The duration needed for salivary duct stent placement might be potentially shortened to only 2 weeks. If a salivary duct stent is intended to be placed for a certain period before its scheduled removal, a suture strength equivalent or stronger than the 5-0 nylon suture should be considered for stent fixation.

Original languageEnglish
Pages (from-to)189-195
Number of pages7
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume273
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

Fingerprint

Salivary Ducts
Stents
Sutures
Hypospadias
Nylons
Enteral Nutrition
Pediatrics

Keywords

  • Complication
  • Outcome
  • Sialendoscopy
  • Stent

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Post-sialendoscopy ductoplasty by salivary duct stent placements. / Su, Chin Hui; Lee, Kuo Sheng; Tseng, Te Ming; Hung, Shih Han.

In: European Archives of Oto-Rhino-Laryngology, Vol. 273, No. 1, 01.01.2016, p. 189-195.

Research output: Contribution to journalArticle

Su, Chin Hui ; Lee, Kuo Sheng ; Tseng, Te Ming ; Hung, Shih Han. / Post-sialendoscopy ductoplasty by salivary duct stent placements. In: European Archives of Oto-Rhino-Laryngology. 2016 ; Vol. 273, No. 1. pp. 189-195.
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