Home – Home – Jornals – Siberian Scientific Medical Journal 2020 number 1

The aim of the study is to
evaluate the effectiveness of endosialoscopy in the diagnosis and
treatment of patients with sialolithiasis. Material and methods. 106
clinical observations were analyzed in which computed tomography
(multislice spiral computed tomography or cone-beam computed tomography)
without contrast, salivary gland ultrasound and endosialoscopy were
used to diagnose and treat patients with sialolithiasis. In the process
of diagnostic sialoscopy, the patency of the ducts, the presence of
strictures and dilatations, the condition of their walls, the severity
of the vascular pattern, the integrity of the epithelial lining, the
contents of the ducts, the presence of mucus, pus, and, of course, the
presence of sialolites, their number, size, shape, density were
evaluated. Results and discussion. Endoscopy allows you to get unique
information about sialolite and the state of the ductal apparatus, which
determines the method of further treatment. Endosialoscopy can be used
as a standard diagnostic method for suspected sialolithiasis and for the
removal of sialolites (using endoscopic instruments) or as assistance.
At the same time, diagnostic endosialoscopy is not an exhaustive method;
therefore it should be carried out in conjunction with other methods -
computed tomography or ultrasound of the salivary glands. The
possibility of endoscopic sialolite removal depends on its mobility,
size, location and condition of the duct. Attempts to capture and remove
fixed sialolites, which are only partially visible and located in the
deep sections of the salivary gland beyond the bend or stenosis section
using endoscopic techniques, have been unsuccessful.