Use of Irrigation Device for Duct Dilatation during Sialendoscopy

Giulio Pagliuca, Veronica Clemenzi (), Andrea Stolfa, Salvatore Martellucci, Antonio Greco, Marco de Vincentiis and Andrea Gallo
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Giulio Pagliuca: Otolaryngology University Unit, Santa Maria Goretti Hospital, 04100 Latina, Italy
Veronica Clemenzi: Department of Sensorial Organs, ENT Section, “Sapienza” University of Rome, 04100 Rome, Italy
Andrea Stolfa: Department of Sensorial Organs, ENT Section, “Sapienza” University of Rome, 04100 Rome, Italy
Salvatore Martellucci: Otolaryngology University Unit, Santa Maria Goretti Hospital, 04100 Latina, Italy
Antonio Greco: Department of Sensorial Organs, ENT Section, “Sapienza” University of Rome, 04100 Rome, Italy
Marco de Vincentiis: Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy
Andrea Gallo: Otolaryngology University Unit, Santa Maria Goretti Hospital, 04100 Latina, Italy

IJERPH, 2022, vol. 19, issue 22, 1-5

Abstract: Background: Continuous irrigation of the duct with isotonic saline is one of the fundamental stages of a successful sialendoscopic procedure. It allows for an adequate luminal distension for the removal of debris and mucous plugs and for the conservative treatment of strictures. This procedure, which commonly involves the use of a medical syringe, can be laborious, and it is often necessary to interrupt irrigation during surgery due to the high resistance to saline. Setting: Academic university hospital. Method: We propose the use of an irrigation device which consists of a high-pressure syringe barrel, an ergonomic piston handle, and a gauge used to monitor the inflation and deflation of balloon catheters. The system allows for a simple and safe dilation, ensuring good visualization of the salivary duct lumen during sialendoscopy. Conclusions: The irrigation system described can be widely used to perform a diagnostic or interventional sialendoscopy more effectively than with a typical manual irrigation procedure.

Keywords: salivary gland; sialendoscopy; irrigation device; salivary duct (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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