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Dry surgical field minor salivary gland harvest using a chalazion clamp for sicca syndrome

Published online by Cambridge University Press:  22 April 2019

C Wijaya ,
R R Ramli  and
S G Khoo
C Wijaya*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, St Vincent's University Hospital, Dublin, Ireland
R R Ramli
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, St Vincent's University Hospital, Dublin, Ireland
S G Khoo
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, St Vincent's University Hospital, Dublin, Ireland
*
Author for correspondence: Mr Clifton Wijaya, Department of Otorhinolaryngology Head and Neck Surgery, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland E-mail: cliftonwijaya@gmail.com Fax: +353 1 221 3996
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Abstract

Background

Sjögren'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.

Objectives

To 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.

Methods

A prospective study was performed on patients who underwent minor salivary gland biopsy using a chalazion ophthalmic clamp between July 2017 and April 2018.

Results

The 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.

Conclusion

This technique facilitates a superior yield, ensures adequate sampling of appropriate glands for histopathological analysis, and minimises the complications associated with traditional techniques.

Keywords

Salivary Glands, MinorBiopsySjogren's SyndromeSialadenitisLipChalazionParesthesia
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 5 , May 2019 , pp. 419 - 423
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Mr C Wijaya takes responsibility for the integrity of the content of the paper

Presented at the Royal Academy of Medicine in Ireland (‘RAMI’) Section of Otorhinolaryngology – Head and Neck Spring Meeting, 21 April 2018, Tullow, Ireland.

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