The development of sialendoscopy in a German ENT-Universityhospital from 2010 to October 2017

Introduction:

The minimally invasive sialendoscopy is a diagnostic and therapeutic tool for obstructive diseases of major salivary glands. An increasing amount of hospitals offer sialendoscopies. Postinterventional gland preservation with 80% and a high patient satisfaction is described in literature. This study should demonstrate the development of sialendoscopy in a German ENT-universityhospital.

Material and Methods:

All patients who underwent sialendoscopy from January 2010 to october 2017 were included into this study. Evaluated were the increased number of cases, complications, postoperative gland preservation and operational time.

Results:

424 Patients were included and 502 sialendoscopy performed in total. The amount increased from 30 in 2010 to 107 till October 2017 (p = < 0,01). The middle operational time decreased from 46 minutes in 2010 to 35 minutes in 2017 (p = < 0,01). Complications decreased from 6,7% to 2,8% (p = 0,8). All in all a gland preservation was reached in 80% of patients with differences during the observed period. The preserved amount was 66,7% in 2010 and 90,7% in 2017 (p = 0,01).

Conclusions:

The ENT-universityhospital Gießen could increase the number of cases. The operational time, the complication rate and the amount of secondary resected glands decreased. With regard to these results, a learning curve could be postulated. The number of patients could be explained with a supra-regional assignement and an establishment of a centre for sialendoscopy.

Publication History

Publication Date:
23 April 2019 (online)