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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2021; 25(01): e6-e11
DOI: 10.1055/s-0040-1716574
Original Research

Sialendoscopy for Improvement of Salivary Flow in Patients with Sjögren Syndrome - Comparative Analysis of Intraglandular Washing Solutions

Gabriela Robaskewicz Pascoto 
1   Department of Otorhinolaryngology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
,
Andrese Aline Gasparin 
2   Department of Reumatology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
,
Otávio Bejzman Piltcher 
1   Department of Otorhinolaryngology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
,
Gabriel Kuhl 
1   Department of Otorhinolaryngology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
,
Leandro Totti Cavazzola 
3   Department of General Surgery, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
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Abstract

Introduction Among the potential diseases that present altered salivary flow and activity is Sjögren syndrome. Sialendoscopy seems to be an important therapeutic option.

Objective To compare the results obtained with sialendoscopy for improving salivary flow measured by scintigraphy in patients with primary Sjögren syndrome to those obtained with other intraglandular washing solutions.

Methods Patients from our institution's rheumatology clinic diagnosed with primary Sjögren syndrome underwent parotid scintigraphy prior to the sialendoscopy procedure. During the sialendoscopy procedure, one of the parotid glands was randomized to receive a wash with saline while the other was washed with a corticosteroid solution. After 1 month, a new scintigraphy examination of the parotid glands was performed to observe the salivary flow for comparison.

Results A total of 13 female patients with mean age of 53.38 years (range, 27–76 years) were included in this study. After sialendoscopy, 10 patients (76.92%) were observed to have improvement in salivary excretion with radiopharmaceutical during scintigraphy. When analyzing each gland that was treated separately (26 glands), after sialendoscopy, improvement was observed in 18 glands (69.23%), 8 treated with dexamethasone and 10 with saline solution in the wash. There was no improvement in 8 glands (30.77%).

Conclusion This study demonstrates that sialendoscopy is as an important tool to improve salivary flow measured by scintigraphy in patients with primary Sjogren syndrome, increasing salivary excretion through dilation and consequent unblocking of the ducts. These data suggest that there is no statistically significant difference between intraductal washing solutions using saline or dexamethasone solution.

Keywords

salivary flow - Sjögren syndrome - sialendoscopy - salivation - parotids


Publication History

Received: 29 April 2020

Accepted: 29 July 2020

Article published online:
30 September 2020

© 2020. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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