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Obstructive Sialadenitis: Stones and Stenoses

  • Salivary Gland Disorders (HT Hoffman, Section Editor)
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Abstract

Purpose of Review

This study aimed to discuss the etiology of obstructive sialadenitis, as well as discuss common pathologies and current standards of treatment focusing on gland-preservation techniques.

Recent Findings

The advent of sialendoscopy and associated techniques has allowed for innovative surgical adaptations to allow gland-preservation for complex obstructive pathologies using transoral, endoscopic, and external combined surgical approaches.

Summary

Obstructive sialadenitis can present a challenging clinical scenario for patients with significant symptoms, especially in the acute setting. The combination of medical management and thoughtful surgical intervention can result in high success rates with resolution of symptoms and reversal of obstructive pathology.

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Authors and Affiliations

  1. San Francisco Department of Otolaryngology-Head and Neck Surgery, University of California, Berkeley, CA, USA

    Andrew R. Larson & William R. Ryan

  2. Massachusetts Eye and Ear Department of Otolaryngology-Head and Neck Surgery, Boston, MA, USA

    Andrew R. Larson

  3. Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA

    Keonho Albert Kong & Rohan R. Walvekar

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  1. Andrew R. Larson
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  2. Keonho Albert Kong
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  4. Rohan R. Walvekar
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Correspondence to Rohan R. Walvekar.

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Conflict of Interest

Dr. William Ryan is on the scientific advisory boards for Medtronic, Olympus, and Rakuten.

Dr. Rohan R. Walvekar is a consultant for Cook Medical USA, and for Hood Laboratories, Pembroke, MA. Dr. Walvekar also has a patent titled Walvekar Salivary Duct Stents, the patent holder is Hood Laboratories. Dr. Keonho Albert Kong and Dr. Andrew Larson have no conflicts of interest.

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Larson, A.R., Kong, K.A., Ryan, W.R. et al. Obstructive Sialadenitis: Stones and Stenoses. Curr Otorhinolaryngol Rep 9, 215–222 (2021). https://doi.org/10.1007/s40136-021-00339-5

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