Paediatric submandibular duct sialendoscopy under local anaesthesia: a case series.
P M Barnes, S D Jones, O J Hughes
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Case in brief
Four paediatric patients underwent diagnostic or interventional sialendoscopy of the submandibular duct under local anaesthesia at one hospital. All tolerated the procedures. Interventions included basket retrieval and lithotripsy. The report describes these cases as demonstrating the feasibility and effectiveness of both diagnostic and interventional sialendoscopy under local anaesthesia in children with submandibular duct obstruction.
What made this case unusual
The procedures, including basket retrieval and lithotripsy, were performed under local rather than general anaesthesia in paediatric patients.
Diagnostic / clinical pearl
In selected children with obstructive submandibular sialadenitis, diagnostic and interventional sialendoscopy under local anaesthesia may be feasible and well tolerated.
Why it matters
The authors propose local-anaesthetic sialendoscopy as a possible primary treatment option for paediatric submandibular duct obstruction.