This review of the efficacy and safety of sialendoscopy in the treatment of obstructive diseases of the major salivary glands included 91 studies. The findings indicate and overall success rate of 80.9% (76.6 to 84.6 %) although all the included studies are observational, mainly retrospective and at medium to high risk of bias.
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This review of whether the incidence of osteoradionecrosis differed between patients who have dental extractions before or after radiotherapy (RT) included 24 studies (19 retrospective 5 prospective). While the findings suggest that the incidence is similar if extractions are undertaken before or after RT the quality of the evidence is limited.
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49 observational studies were included in this review of sialendoscopy for obstructive salivary disease. The findings suggest a successful resolution for sialendoscopy alone of 76% (95% CI; 71 to 82%) and 91% (95% CI; 88 to 94%) for sialendoscopy and surgery.
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13 retrospective studies were included in this review comparing superficial and total conservative parotidectomy approaches for the management of benign parotid tumours. The review suggests that superficial approach is better but the quality of the evidence is low.
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About 50% of benign salivary gland disease results from obstructive sialadenitis. The majority of cases are seen in the submandibular gland (80-90%) with 10-15% in the parotid and < 1% in the sublingual gland. The aim of this review was to summarize the current literature and determine the efficacy and safety of sialendoscopy in the [read the full story…]
