Sialendoscopy as a management tool in patients with foreign body impaction of the salivary gland

Document Type

Journal Article

Publication Date

7-1-2016

Journal

American Journal of Otolaryngology - Head and Neck Medicine and Surgery

Volume

37

Issue

4

DOI

10.1016/j.amjoto.2016.02.008

Abstract

© 2016 Elsevier Inc. Purpose It has been long known that sialendoscopy has both diagnostic and therapeutic benefits in the identification and treatment of sialadenitis. Sialendoscopy can also be used to triage patients with traumatic injury or foreign bodies lodged in the parotid gland. Procedures We present a case of traumatic insertion a fishbone into the parotid gland parenchyma that was evaluated with sialendoscopy and successfully managed on the basis of stable endoscopy findings that correlated with improving symptomatology. Main findings We find that sialendoscopy presents a useful tool to help guide management. Conclusions We demonstrate that in an asymptomatic patient, foreign body impaction with absence of ductal obstruction on endoscopy can successfully be followed with simple observation.

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