Western College of Veterinary Medicine
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Item Outcomes of surgically treated sialoceles in 21 cats: A multi-institutional retrospective study (2010–2021)(Wiley, 2024-07-31) Marti, Laura G.; Del Carpio, Laura-Isabela; Goldschmidt, Stephanie; Gagnon, Dominique; Shmon, Cindy; Sterman, Allyson A.; Scharf, Valery F.; MacPhail, Catriona M.; Maki, Lynn; Arzi, BoazAbstract Objective: To report the outcomes of cats that underwent surgical correction for sialoceles. Study design: Multi-institutional retrospective cohort study. Animals: Twenty-one client-owned cats. Methods: Medical records were examined of cats diagnosed with sialocele, which underwent surgical intervention over an 11-year period at one of10 referral hospitals. The data collected included signalment, clinical signs, diagnostic imaging, histopathology, surgical procedures performed, and post-operative complications. Results: The most common presenting complaints for cats with sialocele included dysphagia and ptyalism. Only two cats had a recent history of trauma, and one was diagnosed with a concurrent sialolith. Most displayed visible tis-sue swelling, with ranulae being most common. Surgical treatment consisted of sialoadenectomy and/or marsupialization. Intraoperative complications occurred in three cats, and postoperative complications in five cats. No recurrence or development of contralateral sialoceles were reported during the follow-up period (30–968 days). Conclusion: The majority of cats did not have a clear underlying cause for developing a sialocele. The sublingual and mandibular salivary glands were presumed to be the most commonly affected. Mandibular and sublingual sialoadenectomy and/or marsupialization provided resolution of clinical signs to the 21 cats that underwent these procedures. Clinical significance: Sialocele, although rare, should remain a differential diagnosis when managing cats with relevant clinical signs. Surgical intervention appears to offer resolution of signs with apparently low over-all risk of complication or short-term recurrence. In cats it is necessary to evaluate whether sialoadenectomy is necessary, or whether marsupialization alone should be attempted as a less invasive first-line surgical intervention.