Letter to the editor

Laiho, Kari; Sorsa, Sirkka

doi:10.1007/s10067-002-0687-9

Cited by 8 publications

(3 citation statements)

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“…Different incisions have been suggested with different designs (ellipse, circular, linear), different directions (parallel, oblique, vertical) and a wide range of lengths (from 1 mm up to 3 cm), but no comparative studies supporting the advantages of a particular type of incision over the others could be retrieved (9-19). …”

Section: Discussionmentioning

confidence: 99%

“…Pain, inflammation, wound infection, suture dehiscence, and cheloid scars are described as mediate complications of glandular biopsy (7,9-15), but the so-called “disorders of lip sensitivity” are the most frequently reported complication (18,19), occurring in up to 11% of cases in large series (12). This finding has discouraged the use of a punch for MSGB because it removes lip mucosa together with the attached gland, and favoured techniques that permit identification and avoidance of sensory nerve endings (16).…”

Section: Discussionmentioning

confidence: 99%

“…However, this instrument was originally designed for ophthalmology and has a number of shortcomings for oral use: the handles of the chalazion forceps are small-sized to allow finger control and are placed perpendicular to the main axis of the blades; this forces the assistant’s hand to work on an uncomfortable position, too near to the surgical field. The size of the fenestration also limits the incision design, particularly when undertaking minimally invasive techniques with multiple 2 mm incisions along the inner face of the lower lip (13,18,19). An improved chalazion forceps was introduced by López-Jornet et al (21): this forceps was larger than the original (20 cm.)…”

Section: Discussionmentioning

confidence: 99%

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Minor salivary gland biopsy in Sjogren’s syndrome: A review and introduction of a new tool to ease the procedure

Varela‐Centelles¹,

Seoane-Romero²,

Sánchez-Sánchez³

et al. 2014

Med Oral

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Objectives: To review the existing techniques for minor salivary gland biopsy (MSGB) in the lip and to suggest a new approach to ease the procedure and reduce post-operative complications. Study Design: A comprehensive literature review and a descriptive study of a new surgical technique. Results: Diverse incisions have been suggested for MSGB with different designs (ellipse, circular, linear), different directions (parallel, oblique, vertical) and a wide range of lengths (from 1 mm up to 3 cm), but no comparative studies supporting the advantages of a particular type of incision over the others could be retrieved. A variety of features of the existing techniques for MSGB are linked to undesired events and surgical complications which could be minimized by modifying certain aspects of these procedures. The technique described, together with the use of the S forceps, represents a significant improvement over the already described chalazion forceps because it allows for a better access and positioning of the lower lip, improves the ergonomic conditions of the assistant, and facilitates the identification of lip areas with more superficial gland lobules. Conclusions: The suggested approach for lip MSGB includes a specifically designed instrument whose performance during lip biopsy may contribute to minimize post-operative complications. Key words:Sjögren’s syndrome, diagnosis, minor salivary gland biopsy, surgical technique, lower lip.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Minor salivary gland biopsy in Sjogren’s syndrome: A review and introduction of a new tool to ease the procedure

Varela‐Centelles¹,

Seoane-Romero²,

Sánchez-Sánchez³

et al. 2014

Med Oral

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Safety and usefulness of minor salivary gland biopsy: Retrospective analysis of 502 procedures performed at a single center

Caporali

Bonacci

Epis

et al. 2008

Arthritis & Rheumatism

100

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Objective. To analyze the safety of our biopsy technique and the effectiveness of minor salivary gland biopsy (MSGB) for the diagnosis of Sjö gren's syndrome (SS) and amyloidosis. Methods. We conducted a retrospective analysis of 452 patients with suspected SS and 50 with suspected amyloidosis and negative periumbilical fat aspiration analysis who underwent MSGB at a single center. Diagnostic evaluation for SS included Schirmer's test, unstimulated whole salivary flow, detection of antinuclear antibodies and anti-SSA/SSB, erythrocyte sedimentation rate, C-reactive protein, IgM rheumatoid factor, and serology for hepatitis C virus. For all biopsy samples, a cumulative focus score on multilevel sections was calculated. SS was diagnosed according to American-European Consensus Group (AECG) criteria. Histologic evaluation for amyloidosis was performed using Congo red staining and polarized-light microscopy. Adverse events were recorded on a questionnaire immediately after the procedure and 7 days, 14 days, and 6 months thereafter. Results. Sixty-four patients (12.7%) reported transient adverse events: 40 paresthesias lasting <7 days, 17 paresthesias lasting <14 days, 27 cases of local swelling, and 8 external hematoma. One patient has had local paresthesia for 2 years. A total of 498 (99.2%) samples provided adequate material for histologic analysis. Of 452 patients evaluated for SS, 378 were finally evaluated. Ninety-three patients (24.5%) had a cumulative focus score >1, and 87 (94.5%) of 93 satisfied the AECG criteria. Classification of SS was possible for 124 (32.8%) of 378 patients. In 51 (41%) of 124, MSGB was essential to reach the number of criteria needed for classification. Of 50 patients evaluated for amyloidosis, 10 (20%) had positive Congo red staining. Conclusion. MSGB is a simple, safe, and reliable tool for the diagnosis of SS and amyloidosis, and therefore is suitable for more extensive application.

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Minimally invasive procedures

Gerlag¹,

Tak²

2011

Rheumatology

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Letter to the editor

Cited by 8 publications

References 0 publications

Minor salivary gland biopsy in Sjogren’s syndrome: A review and introduction of a new tool to ease the procedure

Minor salivary gland biopsy in Sjogren’s syndrome: A review and introduction of a new tool to ease the procedure

Safety and usefulness of minor salivary gland biopsy: Retrospective analysis of 502 procedures performed at a single center

Minimally invasive procedures

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