Clinical and quality-of-life outcomes following gland-preserving surgery for chronic sialadenitis

M. Boyd Gillespie, Brendan P. O'Connell, Jordan W. Rawl, Conor W. McLaughlin, William Carroll, Shaun A. Nguyen

Research output: Contribution to journalArticle

21 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1340-1344
Number of pages5
JournalLaryngoscope
Volume125
Issue number6
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

Keywords

  • Sialadenitis
  • chronic sialadenitis
  • quality of life
  • salivary endoscopy
  • salivary stone
  • sialendoscopy
  • sialolithiasis

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Boyd Gillespie, M., O'Connell, B. P., Rawl, J. W., McLaughlin, C. W., Carroll, W., & Nguyen, S. A. (2015). Clinical and quality-of-life outcomes following gland-preserving surgery for chronic sialadenitis. Laryngoscope, 125(6), 1340-1344. https://doi.org/10.1002/lary.25062