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Peer-reviewedCC BY-NC 4.0Journal of Otolaryngology - Head & Neck Surgery

The Outcomes of Combined Approach Sialendoscopy and Multidisciplinary Salivary Gland Society Questionnaire (Q10 version) in Patients with Proximal/Intraglandular Stones of the Submandibular Gland

  • Cengiz Özcan1
  • Harun Gür1
  • Nur Gül Dönmez2
  • Onur İsmi1
  • Kemal Görür1
  • Kemal Koray Bal1
  1. 1Otorhinolaryngology Department, University of Mersin, Mersin, Türkiye
  2. 2Otorhinolaryngology Department, Ardahan State Hospital, Ardahan, Türkiye
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Abstract

Importance: Combined sialendoscopy (CS) is a minimal invasive method compared to submandibular gland (SG) excision and has a high rate of success.

Objective: The aim of this study was to evaluate the effectiveness and the gland-sparing rates of the combined approach sialendoscopy and impact on quality of life (QOL) of stone extraction using Multidisciplinary Salivary Gland Society (MSGS; Q10 version) questionnaire in patients with proximal/intraglandular SG stones.

Design: This study was conducted prospectively between September 2021 and September 2024.

Setting: Mersin University, Türkiye.

Participants: Patients with proximal/intraglandular SG stones undergoing combined sialendoscopy.

Intervention: Under general anesthesia, proximal/intraglandular SG stones were removed with combined approach sialendoscopy.

Main Outcome Measures: The effectiveness and the gland-sparing rates of CS and impact on QOL of stone extraction with CS using MSGS questionnaire in proximal/intraglandular SG stones. Also, MSGS, dry mouth, and salivary gland score gains were calculated.

Results: There were 45 male and 19 female patients. A mean age of the patients was 42.26 in males, 40.18 in females, and 40.64 ± 15.76 years in total (range, 19-81 years). The stones in 62 of 64 patients (96.8%) were removed successfully, with gland preservation success being 93.7%. The postoperative mean MSGS (5.54 ± 10.91; P < .01), dry mouth (4.75 ± 10.35; P < .01), and salivary gland (0.79 ± 3.87; P < .01) scores had statistically lower than preoperative ones that were 60.59 ± 25.77, 17.23 ± 21.76, and 43.35 ± 13.68, respectively.

Conclusions: MSGS comprehensively interrogates salivary gland symptoms and reviews the relation of these symptoms to xerostomia, talking, chewing, and QOL. CS is an effective surgical method for removing proximal/intraglandular SG stones, with a high success of gland sparing and low complication rates.

Relevance: This study suggested that CS is an effective gland-sparing method for proximal/intraglandular SG stones and MSGS could be used for QOL assessment following successful extraction of SG stones.

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Cite

BibTeXRIS
BibTeX
@article{ozcan2026outcomes,
  title = {{The Outcomes of Combined Approach Sialendoscopy and Multidisciplinary Salivary Gland Society Questionnaire (Q10 version) in Patients with Proximal/Intraglandular Stones of the Submandibular Gland}},
  author = {Cengiz Özcan and Harun Gür and Nur Gül Dönmez and Onur İsmi and Kemal Görür and Kemal Koray Bal},
  journal = {Journal of Otolaryngology - Head \& Neck Surgery},
  year = {2026},
  month = sep,
  doi = {10.1177/19160216251411840},
  url = {https://doi.org/10.1177/19160216251411840},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - The Outcomes of Combined Approach Sialendoscopy and Multidisciplinary Salivary Gland Society Questionnaire (Q10 version) in Patients with Proximal/Intraglandular Stones of the Submandibular Gland
AU  - Cengiz Özcan
AU  - Harun Gür
AU  - Nur Gül Dönmez
AU  - Onur İsmi
AU  - Kemal Görür
AU  - Kemal Koray Bal
PY  - 2026
DA  - 2026/09/29
JO  - Journal of Otolaryngology - Head & Neck Surgery
DO  - 10.1177/19160216251411840
UR  - https://doi.org/10.1177/19160216251411840
AB  - Importance: Combined sialendoscopy (CS) is a minimal invasive method compared to submandibular gland (SG) excision and has a high rate of success.  Objective: The aim of this study was to evaluate the effectiveness and the gland-sparing rates of the combined approach sialendoscopy and impact on quality of life (QOL) of stone extraction using Multidisciplinary Salivary Gland Society (MSGS; Q10 version) questionnaire in patients with proximal/intraglandular SG stones.  Design: This study was conducted prospectively between September 2021 and September 2024.  Setting: Mersin University, Türkiye.  Participants: Patients with proximal/intraglandular SG stones undergoing combined sialendoscopy.  Intervention: Under general anesthesia, proximal/intraglandular SG stones were removed with combined approach sialendoscopy.  Main Outcome Measures: The effectiveness and the gland-sparing rates of CS and impact on QOL of stone extraction with CS using MSGS questionnaire in proximal/intraglandular SG stones. Also, MSGS, dry mouth, and salivary gland score gains were calculated.  Results: There were 45 male and 19 female patients. A mean age of the patients was 42.26 in males, 40.18 in females, and 40.64 ± 15.76 years in total (range, 19-81 years). The stones in 62 of 64 patients (96.8%) were removed successfully, with gland preservation success being 93.7%. The postoperative mean MSGS (5.54 ± 10.91; P < .01), dry mouth (4.75 ± 10.35; P < .01), and salivary gland (0.79 ± 3.87; P < .01) scores had statistically lower than preoperative ones that were 60.59 ± 25.77, 17.23 ± 21.76, and 43.35 ± 13.68, respectively.  Conclusions: MSGS comprehensively interrogates salivary gland symptoms and reviews the relation of these symptoms to xerostomia, talking, chewing, and QOL. CS is an effective surgical method for removing proximal/intraglandular SG stones, with a high success of gland sparing and low complication rates.  Relevance: This study suggested that CS is an effective gland-sparing method for proximal/intraglandular SG stones and MSGS could be used for QOL assessment following successful extraction of SG stones.
SN  - 1916-0208
SN  - 1916-0216
ER  -