{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T20:16:02Z","timestamp":1778876162211,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Prendergast Scholarship Fund"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate long\u2010term chronic sialadenitis symptoms in patients without sialolithiasis following sialendoscopy\u2010assisted salivary duct surgery (SASDS) compared to a control group managed conservatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010six patients (52 glands) with chronic sialadenitis without sialolithiasis completed the Chronic Obstructive Sialadenitis Symptoms (COSS) questionnaire at presentation and at 3\u2010month time intervals thereafter for 1 year. Lower COSS scores represent lower symptom severity. We compared 27 patients who underwent SASDS to 9 control patients who elected conservative management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>COSS gland\u2010specific scores from 38 SASDS\u2010treated glands (cases) and 14 control glands were similar at baseline. At 6 to 12\u00a0months (mean, 8.4\u00a0months), the surgically treated group had significantly lower scores and a greater score reduction from baseline compared to controls (mean score change [95% confidence interval] cases: 20.7 points [15.7\u201025.8]; controls: 11.7 points [4.9\u201018.4]; <jats:italic>P<\/jats:italic> =. 04). There was a significant difference in scores between the 2\u00a0groups over time (<jats:italic>P<\/jats:italic> &lt;. 001). A greater proportion (72%) of cases reported partial or complete resolution of overall sialadenitis symptoms at 6 to 12\u00a0months compared to the controls (22%, <jats:italic>P<\/jats:italic> &lt;. 05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared to patients electing for conservative management, patients with sialadenitis without sialolithasis treated with SASDS had improved symptom scores and a greater reduction of symptom severity after 6\u00a0months. With SASDS, patients had higher rates of significant overall symptom improvement. In evaluating chronic sialadenitis, assessment at multiple time points is necessary to capture the intermittent and cyclical pattern of obstructive symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820957256","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T04:11:03Z","timestamp":1601352663000},"page":"595-601","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Sialendoscopy in Chronic Obstructive Sialadenitis Without Sialolithiasis: A Prospective Cohort Study"],"prefix":"10.1002","volume":"164","author":[{"given":"Karolina A.","family":"Plonowska","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of California\u2010San Francisco San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgar","family":"Ochoa","sequence":"additional","affiliation":[{"name":"Department of 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