return to: Sialogram Technique; Sialograms and Sialography; Turner Needle used for Wharton's Duct (Submandibular Duct) Cannulation; Parotid duct dilation and steroid insufflation in clinic; Cook Medical Salivary Access Dilator Set
see also video: Salivary Cannulation and Infusion Techniques; In Office Sialodochoplasty (Office Based) Wharton's Ductoplasty Under Local Anesthesia Following Submandibular Gland Resection
"Salivary Duct Canulation/Dilation/Steroid Infusion"
Equipment
- Medicine Cup (plastic) (1)
- Cotton tipped applicator (5)
- 1 cc Syringe Luer Lock (2)
- 5cc Syringe
- 18 G needle to draw up Kenalog
- 22 G Abbocath (Stores #907578) (2)
- 24 G Abbocath (Stores #907577) (2)
- House-Rosen Needle a.k.a Turner needle used more commonly for submandibular gland
- Ziegler dilator (1) – (rarely used), can borrow from ASC
- Kittners (2) packages
- 4 x 4 Sponge (1) pack
- Oto Minor Tray (1) – order from CSS
- (DeBakey) Forceps should be included on Minor Tray
- (2) Extra Single DeBakey Forceps with Dr. Hoffman’s name- keep in Blue Box
- .015 guide wires, both the 30 and 50 cm lengths (Cook Medical) (see photo in: Parotid duct dilation and steroid insufflation in clinic)
- COOK Salivary Access Dilators (package of 4 Fr 5 Fr 6 Fr 7 Fr)
- May request Marchal hollow bore metal dilators
Medications
- 2% Viscious Lidocaine (1)
- Kenalog 10 (2) bottles -potential for 5 cc to be instilled into each gland
- Do not draw up medication into syringe. (Dr. Hoffman to draw up).
- Lubricating gel (usually use the 2% viscous lidocaine instead of the K-Y gel
Extra Supplies - unlikely to need for routine cases
- 4-0 Vicryl / needle driver / scissors / scalpel with 15 blade
- Silver Nitrate Sticks
References
Hwang S, Cho JM, Yoon YJ, Seo S, Hong Y, Lim JY. Retroductal dexamethasone administration promotes the recovery from obstructive and inflammatory salivary gland dysfunction. Front Immunol. 2024 Jul 9;15:1418703. doi: 10.3389/fimmu.2024.1418703. PMID: 39044831; PMCID: PMC11263033.
Usefulness of Stensen’s Duct Steroid Irrigation in Patients With Chronic Sialadenitis of the Parotid Gland
Korean J Otorhinolaryngol-Head Neck Surg. 2023;66 (9): 597-602.
Publication Date (Web): 2023 June 01 (Original Article)
doi:https://doi.org/10.3342/kjorl-hns.2022.01172
Lele SJ, Hamiter M, Fourrier TL, Nathan CA. Sialendoscopy With Intraductal Steroid Irrigation in Patients With Sialadenitis Without Sialoliths. Ear Nose Throat J. 2019 Jun;98(5):291-294. doi: 10.1177/0145561319841207. Epub 2019 Apr 23. PMID: 31012349.
Lorusso F, Immordino A, Dispenza F, Sireci F, Gallina S. A conservative treatment for chronic obstructive sialoadenitis by intraductal instillation of mucolytic, steroids and antibiotic solution. Eur Arch Otorhinolaryngol. 2022 Jan;279(1):501-506. doi: 10.1007/s00405-021-06930-2. Epub 2021 Jun 10. PMID: 34110456; PMCID: PMC8739163.