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- Title
Clinical and quality-of-life outcomes following gland-preserving surgery for chronic sialadenitis.
- Authors
Gillespie, M. Boyd; O'Connell, Brendan P.; Rawl, Jordan W.; McLaughlin, Conor W.; Carroll, William W.; Nguyen, Shaun A.
- Abstract
Objectives/Hypothesis Gland-preserving salivary surgery utilizing salivary endoscopy has been proposed as a treatment alternative in the management of chronic sialadenitis. This study seeks to determine medium-term clinical and quality-of-life (QOL) outcomes following a gland-preserving approach for chronic sialadenitis. Study Design Cross-sectional survey with retrospective chart review. Methods All patients undergoing attempted gland-preserving salivary surgery with salivary endoscopy for chronic sialadenitis at a tertiary, academic salivary referral center between October 2008 and April 2013 were identified from a quality assurance database. A research database was constructed to examine clinical factors of interest. A clinical outcomes and QOL survey was mailed to all eligible patients in order to obtain long-term follow-up data. Results A total of 206 of 306 (67%) eligible patients returned the survey. The median length of follow-up was 17 months (3-54 months). The majority of patients (89%) endorsed symptom improvement after gland-preserving therapy. Surgical excision was performed on 8% of affected glands. Patients with chronic sialadenitis due to stones reported a greater incidence of symptom resolution ( P = 0.0004) and more favorable QOL outcomes ( P = 0.0001) than patients with nonstone etiologies. Conclusions Patients undergoing gland-preserving salivary surgery with salivary endoscopy for chronic sialadenitis have favorable long-term symptom improvement and gland retention rates. Although patients with stones demonstrated the best outcomes, improvement was documented for all etiologies of chronic sialadenitis. Level of Evidence 4. Laryngoscope, 125:1340-1344, 2015
- Subjects
SIALADENITIS; GLANDS; QUALITY of life; ENDOSCOPY; ETIOLOGY of diseases; THERAPEUTICS
- Publication
Laryngoscope, 2015, Vol 125, Issue 6, p1340
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.25062