Stensen's Duct Stenosis Balloon Dilatation: Long‐term Evaluation of Clinical Outcomes and Quality of Life Impacts. (5th February 2023)

• Record Type: Journal Article
• Authors: de Boutray, Marie; Pons, Mélanie; Graillon, Nicolas; Chossegros, Cyrille; Reyre, Anthony; Chagnaud, Christophe; Varoquaux, Arthur
• Is Part Of: Otolaryngology--head and neck surgery. Volume 168:Number 4(2023)
• Page Start: 696
• Page End: 703
• Publication Date: 2023-02-05
• Subjects: Stensen's duct stenosis -- Stensen's stricture -- balloon dilatation -- sialography -- salivary duct dilatation; Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/01945998221097636
• Languages: English
• ISSNs: 0194-5998

Abstract

Abstract: Objective: To conduct a long‐term retrospective evaluation of the safety and effectiveness of sialographic balloon dilatation in Stensen's duct stenosis (SDS). Study Design: Retrospective cohort. Setting: Single‐institution academic tertiary referral center. Methods: All SDS balloon dilatations (SSBDs) performed from 2011 to 2017 were monitored. Pain relief was evaluated by a numeric rating scale at 3‐year follow‐up at least. Long‐term glandular swelling frequency patterns, quality of life (QoL), and drug consumption were retrospectively assessed. Procedure‐related complications were recorded. Results: Twenty‐one SSBD procedures were recorded (mean ± SD age, 55 ± 12 years), all performed under local anesthesia. SSBD led to complete dilatation in 7 patients (33%), residual stenosis in 8 (38%), and no dilatation (failure) in 6 (29%). Retrospective analysis of clinical outcomes was possible for 17 patients, 71% of whom presented with long‐term pain relief, at a mean relief of 3.2 points on the numeric rating scale ( P < .001). Long after SSBD, patients presented with a mean decrease of 15.4 glandular swellings per month ( P < .001). Medical consumption was reduced to 18% of patients taking some drugs because of SDS after SSBD vs 71% before. SSBD showed an impact on QoL in >80% of patients, with mean improvements of 26% and 25% in the percentage point reduction of physical and mental QoL, respectively ( P < .001). No complications were noted except temporary discomfort due to the procedure. Conclusion: Despite the advent of sialendoscopy‐guided techniques, SSBD should be considered for SDS treatment, as it is a safe procedure and provides sustained pain relief.