One-year outcomes of sialendoscopic-assisted salivary duct surgery for sialadenitis without sialolithiasis

The Laryngoscope
Karolina A PlonowskaWilliam R Ryan

Abstract

To prospectively examine durability of long-term outcomes in sialendoscopy-assisted salivary duct surgery (SASDS) in chronic obstructive sialadenitis without sialolithiasis (COSWS). A prospective cohort study of adult patients with COSWS who completed Chronic Obstructive Sialadenitis Symptoms (COSS) Questionnaire prior to and at 3 months and 1 year following SASDS. COSS scores scaled to 0 to 100 were analyzed by statistically significant improvements and previously published ranges corresponding to complete, partial, and nonresolution of symptoms. Twenty-nine patients with COSWS affecting 41 glands had statistically significant improvements in COSS scores at 3 months following SASDS. These improvements usually were sustained at 1 year, supporting durability of treatment effect over time. A majority of cases (30 of 41, 73%) achieved at least a partial resolution of sialadenitis symptoms (COSS score ≤ 25) at 1-year follow-up. Symptom improvement after SASDS was noted in 14 of 18 (78%) glands with radioiodine-induced sialadenitis (RAI-IS). The highest proportion of persistent or recurrent disease at 1-year post-SASDS was found in autoimmune sialadenitis (2 of 4, 50%) and glands with proximal or multifocal stenoses (6 of 12, 50%). ...Continue Reading

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Citations

Sep 30, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Karolina A PlonowskaJolie L Chang
May 27, 2020·Ear, Nose, & Throat Journal·Kathryn S MarcusHenry T Hoffman
Nov 3, 2020·Laryngoscope Investigative Otolaryngology·Frederike WeigeltMartin Laudien
Mar 13, 2021·The Laryngoscope·Ya-Ning ZhaoGuang-Yan Yu
Apr 21, 2021·Ear, Nose, & Throat Journal·Shuo-Jen WangShih-Han Hung
Feb 6, 2021·Clinical and Experimental Otorhinolaryngology·Geun-Cheol ShinJae-Yol Lim
Jul 2, 2021·Laryngoscope Investigative Otolaryngology·Madeleine P StrohlJolie L Chang

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