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Management of obstructive pathology of the salivary glands in elderly patients: a preliminary study

Published online by Cambridge University Press:  29 November 2021

M Familiari ,
F Ferrario ,
L Giordano Open the ORCID record for L Giordano [Opens in a new window] ,
D Di Santo ,
P Indelicato ,
R A Battista  and
M Bussi
M Familiari
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’) – San Raffaele Hospital, Vita-Salute University, Milan, Italy
F Ferrario
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’) – San Raffaele Hospital, Vita-Salute University, Milan, Italy
L Giordano*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’) – San Raffaele Hospital, Vita-Salute University, Milan, Italy
D Di Santo
Affiliation:
Otorhinolaryngology Unit, Istituto di Ricovero e Cura a Carattere Scientifico – Humanitas Research Hospital, Milan, Italy
P Indelicato
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’) – San Raffaele Hospital, Vita-Salute University, Milan, Italy
R A Battista
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’) – San Raffaele Hospital, Vita-Salute University, Milan, Italy
M Bussi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’) – San Raffaele Hospital, Vita-Salute University, Milan, Italy
*
Author for correspondence: Dr Leone Giordano, Department of Otolaryngology – Head and Neck Surgery, IRCCS – San Raffaele Hospital, Vita-Salute University, Via Olgettina 60, 20132Milan, Italy E-mail: [email protected]
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Abstract

Background

Obstructive pathology is a benign condition of the salivary glands that can affect elderly and co-morbid people. Sialoendoscopy is a minimally invasive surgical procedure with a success rate comparable to standard sialoadenectomy and has the advantage that it can be performed under local anaesthesia.

Methods

This study aimed to assess sialoendoscopy benefits in elderly patients unfit for general anaesthesia. A group of elderly patients (aged 65 years or more) undergoing sialoendoscopy under local anaesthesia were evaluated. Age, co-morbidities, surgical time, hospital stay, and complication and recurrence rates were assessed.

Results

Nineteen sialoendoscopies were performed in 18 elderly patients with a mean age of 69.7 ± 5.6 years, with some of them suffering from multiple co-morbidities. Surgery was successful in 16 patients, while surgery was unsuccessful in 2 patients because of intraglandular stones. The average surgical duration was 54.5 ± 30.1 minutes, and all patients were discharged 2–3 hours after surgery. No post-operative complications were found and only one patient had recurrence during follow up.

Conclusion

Sialoendoscopy under local anaesthesia is a safe and effective procedure in elderly patients who are more prone to complications.

Keywords

Salivary GlandsCalculiSialadenitisFrail ElderlyEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 60 - 63
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Dr L Giordano takes responsibility for the integrity of the content of the paper

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