Salivary Gland Diseases, Salivary Gland Stone
Conditions
Brief summary
Aim of the current study was to evaluate the minimally invasive techniques in the management of salivary gland ductal pathologies
Interventions
PROCEDUREMinimally invasive techniques
All patient will be treated under general anaesthesia An appropriate gland-preserving minimally-invasive surgical procedure will be performed for all patients according to the nature and extent of the disease for either submandibular or parotid ducts. Minimally invasive techniques for ductal salivary gland pathologies include: 1. Sialolithotomy through a simple cutdown 2. Sialendoscopy 3. Transoral microscopic-assisted sialolithotomy.
Sponsors
Aya Sakr
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Healthy volunteers
No
Inclusion criteria
* All patients manifesting with either submandibular or parotid salivary gland ductal pathologies including: * Sialolithiasis (salivary stones). * Salivary ductal stenosis or stricture. * Children with juvenile recurrent parotitis. * Sjogren's syndrome. * Radio-iodine induced sialadenitis.
Exclusion criteria
* Patients who are unfit for surgery. * Patients with previous submandibular or parotid surgical resection. * Patients with salivary tumors either benign or malignant.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Subjective salivary gland performance | up to 12 months | This was done using a questionnaire to measure salivary score (this questionnaire is formulated by the multidisciplinary salivary gland society MSGS). The questionnaire consists of 20 questions divided in two groups: 13 regarding xerostomia and 7 regarding sialadenitis. Each question is scored from 0 to 10 and the total score could vary from 0 to 200 points. |
| Objective salivary gland performance (salivary flow measurement) | up to 12 months | We have chosen 6 minutes as our standard time to collect saliva and we have chosen on purpose to collect saliva separately from the two parotids and jointly from the submandibular gland. A 5cmx5cm gaze is applied on the papilla of each Stenson duct and a third one is placed under the tongue. All these tampons are weighted separately after 6 minutes and the results collected. |
Countries
Egypt
Outcome results
None listed