{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T15:55:30Z","timestamp":1770566130043,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T00:00:00Z","timestamp":1713484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To define symptomatology and responses to treatment in chronic sialadenitis from sialolithiasis versus duct stenosis and establish a minimal clinically significant difference (MCID) in the validated Obstructive Salivary Problem Impact Test (SPIT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective, cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary\u2010care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients completed the SPIT questionnaire at presentation and 3 to 6 months after surgery. SPIT scores and domains were compared between patients with symptomatic sialolithiasis and those with stenosis of a major salivary gland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010nine\u00a0patients completed the SPIT, including 43 (54%) with sialolithiasis and 36 (46%) with stenosis. Stenosis patients displayed greater baseline scores compared to sialolithiasis patients (45.4\u2009\u00b1\u200919.9 vs 33.3\u2009\u00b1\u200918.5, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.013). Frequency and severity of gland swelling and pain (21.9\u2009\u00b1\u20098.9 vs\u00a017.1\u2009\u00b1\u20099.6, <jats:italic>P<\/jats:italic>\u2009=\u2009.02) and functional\/psychosocial impact subscores were greater in the stenosis versus\u00a0sialolithiasis groups (18.0\u2009\u00b1\u200910.9 vs\u00a011.3\u2009\u00b1\u20099.4, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01). For 43 patients who underwent surgical intervention, SPIT scores improved at 3 to 6 months postoperatively in all domains (\u221218.6\u2009\u00b1\u200919.4, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01). Degree of improvement did not differ between sialolithiasis versus\u00a0stenosis groups (\u221222.0\u2009\u00b1\u200920.9 vs\u00a0\u221213.3\u2009\u00b1\u200915.8, <jats:italic>P<\/jats:italic>\u2009=\u2009.13). The MCID in SPIT score was found to be \u221213 points. A postoperative SPIT score of less than 10 suggested symptom resolution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When compared to sialolithiasis, chronic salivary obstruction from stenosis is associated with greater baseline SPIT scores, indicating poorer sialadenitis\u2010related quality of life due to greater symptom frequency and functional impact. Based on SPIT survey outcomes, a score decrease of 13 points or SPIT score &lt;10 represent significant symptom improvement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.756","type":"journal-article","created":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T06:39:11Z","timestamp":1713508751000},"page":"418-424","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Chronic Sialadenitis Symptom Burden in Patients With Sialolithiasis Versus Stenosis Before and After Sialendoscopy"],"prefix":"10.1002","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3039-8112","authenticated-orcid":false,"given":"Amrita","family":"Bhat","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California San Francisco California 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California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,19]]},"reference":[{"issue":"11","key":"e_1_2_9_2_1","first-page":"882","article-title":"Salivary gland disorders","volume":"89","author":"Wilson KF","year":"2014","journal-title":"Am Fam 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