Evaluation of the Effect of Minimally Invasive Procedures Used in Management of Salivary Ductal Pathologies on Patients' Symptomatology and Gland Function

Aya Sakr31 enrolled

Overview

Aim of the current study was to evaluate the minimally invasive techniques in the management of salivary gland ductal pathologies

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Salivary Gland Stone Salivary Gland Diseases

Interventions

Minimally invasive techniquesPROCEDURE

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.

Eligibility

Medical Language ↔ Plain English

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.

Locations (1)

Faculty of Dentistry, Alexandria University

Alexandria, Egypt

Outcomes

Primary Outcomes

Subjective salivary gland performance

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.

Time frame: up to 12 months

Objective salivary gland performance (salivary flow measurement)

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.

Time frame: up to 12 months

Data from ClinicalTrials.gov

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