Dry surgical field minor salivary gland harvest using a chalazion clamp for sicca syndrome
| Autor: | R R Ramli, C Wijaya, S G Khoo |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Biopsy Salivary Glands Minor 03 medical and health sciences 0302 clinical medicine Sicca syndrome Medicine Humans Sampling (medicine) Prospective Studies 030223 otorhinolaryngology Prospective cohort study Aged Salivary gland medicine.diagnostic_test business.industry Hemostatic Techniques General Medicine Middle Aged medicine.disease Surgical Instruments Sialadenitis Surgery medicine.anatomical_structure Sjogren's Syndrome Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Chalazion Female Complication business |
| Zdroj: | The Journal of laryngology and otology. 133(5) |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | BackgroundSjögren's syndrome is a rheumatological condition. Diagnosing Sjögren's syndrome can be challenging given the overlapping nature of clinical presentations. Currently, minor salivary gland biopsy is considered the definitive test for diagnosing Sjögren's syndrome. Various surgical techniques have been described, targeting biopsy of minor salivary glands from the lower lip. Identification of minor salivary glands is often difficult because of bleeding. One common complication of minor salivary gland biopsy is lip paraesthesia from iatrogenic sensory nerve injury.ObjectivesTo describe a minor salivary gland biopsy technique in a bloodless operative field using a chalazion ophthalmic clamp under local anaesthesia, and to report our clinical outcomes.MethodsA prospective study was performed on patients who underwent minor salivary gland biopsy using a chalazion ophthalmic clamp between July 2017 and April 2018.ResultsThe study included 23 patients. The histopathological reports positively identified minor salivary glands for all patients. In nine cases, the histological findings were positive for Sjögren's syndrome. No lip paraesthesia complications were reported post-operatively.ConclusionThis technique facilitates a superior yield, ensures adequate sampling of appropriate glands for histopathological analysis, and minimises the complications associated with traditional techniques. |
| Databáze: | OpenAIRE |
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