Complications of sialendoscopy in patients with Sjögren’s syndrome

Publication date: Available online 6 October 2016
Source:Journal of Oral and Maxillofacial Surgery
Author(s): K. Hakki Karagozoglu, Jan G. De Visscher, Tymour Forouzanfar, Erik H. van der Meij, Derk Jan Jager
PurposeRecent literature suggests that sialendoscopy of the major salivary glands could possibly alleviate symptoms of Sjögren's syndrome (SS) and restore salivary function. The aim of this study was, therefore, to evaluate our experience of sialendoscopy of the salivary glands in patients with SS.MethodsIn this retrospective case series study, the surgical data of patients with SS who had undergone sialendoscopy in the VU University Medical Center, Amsterdam between November 2014 and April 2015 were used. Outcome measures were successful entry in the salivary gland and completion of sialendoscopy as planned. Furthermore, per- and postoperative complications were scored. Descriptive analysis of the data was performed.ResultsSurgical data of sialendoscopic procedures in 26 patients with SS (24 women and 2 men; mean age 57 years (range 27-72 years) were analyzed. Sialendoscopy was successfully performed in 78 salivary glands (75%), 50 parotid and 28 submandibular glands, of the 104 salivary glands in the 26 patients. Sialendoscopy failed in 26 (25%) of the 104 sialendoscopic procedures (2 parotid and 24 submandibular glands). In 16 salivary glands the ductal orifice could not be identified. In 7 salivary glands sialendoscopy could not be performed due to partial or complete stenosis of salivary duct. In 3 salivary glands sialendoscopy was not performed because of a ductal perforation. Three patients developed a postoperative infection.ConclusionIt was found that the overall rate of complications was limited and types of complications of sialendoscopy in patients with SS could be regarded as minor. Most complications were seen in sialendoscopy of the submandibular glands in this specific patient category. Careful preoperative selection of both patients and salivary glands may contribute to a lower rate of complications and more predictable results.



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