Objective
The introduction of minimally invasive surgical procedures has significantly reduced
the rate of major salivary gland removal. This study aimed to assess these procedures
in relieving patients’ complaints and their impact on quality of life using the newly
introduced Multidisciplinary Salivary Gland Society questionnaire.
Study design
Between January 2021 and October 2021, a case series was treated with minimally invasive
surgical procedures. Data such as stone size, number and location, surgical approach,
symptoms relief, and improvement of quality of life were collected and analyzed. Thirty-six
patients were included (22 males and 14 females); 28 had stones in the submandibular
gland and 8 in the parotid gland with largest stone diameter ranging from 0.2 to 2.8
cm. The approach was selected according to stone size and location, so 17 patients
were treated with sialendoscopy (alone or using a combined approach), and 19 patients
were treated without sialendoscopy using a transoral approach.
Results
After a 6-month follow-up, the questionnaire scores showed a statistically significant
difference in comparison to preoperative ones.
Conclusions
Minimally invasive surgical procedures present an excellent option for sialolithotomy,
after which the relief of symptoms, restoration of gland function, and a significant
improvement in quality of life are achieved.
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Article info
Publication history
Published online: July 16, 2022
Accepted:
July 11,
2022
Received in revised form:
July 7,
2022
Received:
June 10,
2022
Identification
Copyright
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