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. 2021 Feb 17;9(1):25.
doi: 10.1186/s40337-021-00378-9.

Interventional sialendoscopy in parotidomegaly related to eating disorders

Giuseppe Colella  1 , Giorgio Lo Giudice  2 , Roberto De Luca  3 , Antonio Troiano  3 , Carmelo Lo Faro  3 , Vincenzo Santillo  1 , Gianpaolo Tartaro  1
Affiliations

Interventional sialendoscopy in parotidomegaly related to eating disorders

Giuseppe Colella et al. J Eat Disord. .

Abstract

Background: To evaluate the viability and efficacy of sialendoscopy for the management of parotidomegaly related to eating disorders, 6 patients suffering from eating disorders and recurring symptoms of glandular swelling were followed up at the Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit, AOU University of Campania "Luigi Vanvitelli". After the detection of the impaired gland through clinical and radiographical analysis, the diagnostic unit was introduced into the duct and was advanced in, reaching the ductal system. Plaques were washed out, any strictures were dilated both by hydrostatic pressure application and steroid solution injection directly in the fibrotic area.

Results: Both glands resulted affected in 83% of patients. 11 parotid glands were explored and treated. Strictures were found in 2 glands (33%), sialectasis in 3 glands (50%), strictures and sialectasis together in 1 glands (17%). In 3 parotid glands (50%) Stenon's duct was affected, in two (33%) only secondary ducts, in 1 (17%) both. We reached symptomatic improvement in 5 patients (83%), reporting the spherical volume of the parotid region and pain reduction.

Conclusions: Our results demonstrate that sialendoscopy is a safe and effective therapeutic method to treat EDs salivary symptoms. Treating the underlining psychiatric pathology should be the primary goal in patient care to lower the possible recurrence rate and increase the successful outcome of this technique.

Keywords: Anorexia; Bulimia; Eating disorders; Parotidomegaly; Sialadenitis; Sialadenosis; Sialendoscopy; Sialoadenitis; Sialoadenosis; Sialoendoscopy.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
T0 external view examination
Fig. 2
Fig. 2
MRI assessment shows reduction of the parotid gland volume bilaterally. Coronal T2w at T0 (a) and T1 (b); axial T2w at T0 (c) and T1 (d); coronal STIR at T0 (e) and T1 (f); axial STIR at T0 (g) and T1 (H). BAR: 1 cm
Fig. 3
Fig. 3
Sialendoscopic photogram of right parotid primary duct stricture
Fig. 4
Fig. 4
T1 external view examination
See this image and copyright information in PMC

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