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Interventional sialendoscopy for treatment of radioiodine‐induced sialadenitis
Author(s) -
Bomeli Steven R.,
Schaitkin Barry,
Carrau Ricardo L.,
Walvekar Rohan R.
Publication year - 2009
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20140
Subject(s) - sialadenitis , medicine , submandibular gland , stenosis , salivary gland diseases , surgery , radiology , salivary gland
Objectives/Hypothesis: The purpose of this study is to review our experience with sialendoscopy for the management of radioiodine‐induced sialadenitis. Methods: Retrospective chart review of all patients with radioiodine‐induced sialadenitis treated with interventional sialendoscopy. Results: Twelve female patients with a mean age of 46.5 years (range, 25–77 years) underwent interventional sialendoscopy for the treatment of recalcitrant sialadenitis from radioiodine‐induced damage to the major salivary glands. Symptoms arising from the parotid gland were seen in 75% of patients, whereas symptoms arising from the submandibular gland were seen in 50%. Three patients (25%) presented symptoms in both the parotids and the submandibular glands. The mean dose of radioiodine was 143 mCi (range, 101.9–185.7 mCi) received as a single dose prior to their referral. The mean duration from radioiodine ablation therapy to sialendoscopy was 10.4 months (range, 5–16 months). Thirty‐two glands (20 parotid, 12 submandibular) were taken to the operating room, with complete endoscopy successful in 27 glands (84.4%). Ductal stenosis (30%) and mucus plugs (44%) were the most common types of ductal pathology. Sialendoscopy improved the symptoms in 75% (9/12) of patients, with no serious complications reported in follow‐up ranging from 2 weeks to 33 months (median, 6 months). Conclusions: Interventional sialendoscopy is an effective tool for the management of patients with radioiodine‐induced sialadenitis that is unresponsive to medical management. Laryngoscope, 2009