الفهرس 
LITERATURE REVIEWOnly 14 pages are availabe for public view
 |  | from | 106 |  |  |
| | | from | 106 | | |
Abstract
Obstructive salivary gland pathologies were classically treated by a conservative manner using antibiotic and anti-inflammatory medications aiming for complete resolution. However, in cases with recurrent infection the gland was excised except for few cases with stones in the distal portion of the duct which can be removed by marsupialization of papilla. Excised glands were proven to have normal function with normal histopathology, therefore, the focus on gland preservation started to take place through minimally invasive procedures, which significantly reduced the rate of major salivary gland removal.
Aim of the study: Evaluate the minimally invasive procedures in management of obstructive salivary gland pathologies in relieving patients’ complaints and their impact on quality of life.
Material and Methods: Between January 2021 and June 2022, a case series was treated with minimally invasive procedures. Data such as stone size, number and location, surgical approach, improvement of quality of life as well as improvement in salivary output of both submandibular glands and both parotid glands were collected and analyzed. Forty-one patients were included (23 males and 18 females), 29 had stones in the submandibular gland and 12 in the parotid gland with stone largest diameter ranging from 0.2 to 2.8 cm. Approach was selected according to stone size and location so 21 patients were treated with sialendoscopy (alone or using a combined approach) and 20 patients were treated without sialendoscopy using a transoral approach.
Results: After 12 months follow up, questionnaire scores showed a statistically significant difference in comparison to preoperative ones. Also, sialometry scores had a statistically significant improvement throughout the study period.
Conclusion: Minimally invasive surgical procedures present an excellent option for obstructive salivary gland pathologies after which relief of symptoms, restoration of gland function and a significant improvement in quality of life are achieved.