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The introduction of sialendoscopy has significantly contributed to a decreased number of excised salivary glands in Denmark

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Abstract

Excision has been the treatment of choice in benign non-tumorous obstructive disorders of the major salivary glands, when symptoms persisted in spite of conservative measures. Unfortunately surgical resection has been associated with a relatively high rate of adverse effects. To meet the need for a less invasive treatment modality for benign obstructive non-tumorous disorders (i.e., salivary stones or stenosis), sialendoscopy has been developed and implemented in several countries here among Denmark. This study is a 13-year retrospective registry-based study using The Danish National Patient Register. ICD-10 codes used for non-tumorous obstructive disease of the salivary glands were identified and used to extract patients potentially eligible for sialendoscopy in order to compare sialendoscopic surgery and extirpations of salivary glands. In 2012 sialendoscopy accounted for almost 20 % of all surgical interventions on the major salivary glands due to benign non-tumorous disease. Nationally and regionally the total number of resected major salivary glands due to benign obstructive disease also decreased significantly during the study period. A positive outcome, like the ones described here, will inspire further development and dissemination of gland preserving techniques, to great benefit for the patients.

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Acknowledgments

The authors would like to thank Dr. Troels G. Nielsen and the Department of Otolaryngology, Head and Neck Surgery at Hilleroed Hospital to have supported this study financially.

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Authors and Affiliations

  1. Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Koege Hospital, Lykkebaekvej 1, 4600, Koege, Denmark

    Eva Rye Rasmussen & Troels Nielsen

  2. Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital of Copenhagen, Blegdamsvej 9B, 2100, Copenhagen East, Denmark

    Eva Lykke

  3. Private Hospital Valdemar, 4100, Ringsted, Denmark

    Niels Wagner & Helge Arndal

  4. Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Hilleroed Hospital, Dyrehavevej 29, 3400, Koege, Denmark

    Stian Waersted

Authors
  1. Eva Rye Rasmussen
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  2. Eva Lykke
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  3. Niels Wagner
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  4. Troels Nielsen
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  5. Stian Waersted
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  6. Helge Arndal
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Correspondence to Eva Rye Rasmussen.

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Rasmussen, E.R., Lykke, E., Wagner, N. et al. The introduction of sialendoscopy has significantly contributed to a decreased number of excised salivary glands in Denmark. Eur Arch Otorhinolaryngol 273, 2223–2230 (2016). https://doi.org/10.1007/s00405-015-3755-x

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  • DOI: https://doi.org/10.1007/s00405-015-3755-x

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