Sialendoscopy-assisted microsurgical repair of traumatic transection of Stensen's duct

Authors

  • Michael Koch MD, PhD,

    Corresponding author
    1. Department of Otorhinolaryngology–Head and Neck Surgery, Friedrich Alexander University of Erlangen-Nuremberg, Medical School, Erlangen, Germany
    • Send correspondence to Michael Koch, MD, Hals-, Nasen-, Ohren- Klinik, Kopf- und Hals-Chirurgie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Waldstrasse 1, 91054 Erlangen, Germany. E-mail: michael.koch@uk-erlangen.de

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  • Heinrich Iro MD,

    1. Department of Otorhinolaryngology–Head and Neck Surgery, Friedrich Alexander University of Erlangen-Nuremberg, Medical School, Erlangen, Germany
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  • Alessandro Bozzato MD, PhD,

    1. Department of Otorhinolaryngology–Head and Neck Surgery, Friedrich Alexander University of Erlangen-Nuremberg, Medical School, Erlangen, Germany
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  • Johannes Zenk MD

    1. Department of Otorhinolaryngology–Head and Neck Surgery, Friedrich Alexander University of Erlangen-Nuremberg, Medical School, Erlangen, Germany
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  • The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

Sialendoscopy is established in the diagnostics and treatment of obstructive salivary gland diseases, but has not previously been reported in patients with injuries to Stensen's duct. Sialendoscopy assisted repair of a transected Stensen's duct in zone B is reported. The duct injury itself, its location, and its severity could be visualized and precisely assessed and allowed intraductal assessment of the ductal tissue. Rapid atraumatic dissection and also postoperative endoscopic follow-up examination with assessment of the anastomosis was provided by using the sialendoscope, which appears to be valuable for several reasons in the management of Stensen's duct trauma. Laryngoscope, 123:3074–3077, 2013

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