CLINICAL AND LABORATORY OUTCOMES OF COMPLEX THERAPY IN PATIENTS WITH CHRONIC SIALADENITIS IN THE EXACERBATION STAGE
Clinical medicine

CLINICAL AND LABORATORY OUTCOMES OF COMPLEX THERAPY IN PATIENTS WITH CHRONIC SIALADENITIS IN THE EXACERBATION STAGE

Published 2026-03-25

Authors:

S.Z. Aliyev
Azerbaijan State Advanced Training Institute for Doctors named after A. Aliyev image/svg+xml
https://orcid.org/0000-0001-6315-3088
Z.U. Aliyev
Azerbaijan State Advanced Training Institute for Doctors named after A. Aliyev image/svg+xml
https://orcid.org/0000-0001-6315-3088

Abstract:
Chronic sialadenitis is one of the most common recurrent salivary gland diseases, complicating treatment in maxillofacial practice due to its long course and frequent exacerbations. The purpose of the study was to evaluate the clinical and laboratory effectiveness of complex therapy combining conventional treatment with local immunotherapy using autologous leukocytes stimulated by a synthetic immunomodulatory peptide. Forty-five patients were examined: the control group received standard therapy, while the main group additionally underwent three intraductal administrations of stimulated leukocytes. Complex treatment led to faster symptom regression, improved salivary parameters, normalization of the cytokine profile, and a lower recurrence rate (12 % vs. 35 %). The findings suggest that the combined therapeutic approach improves both short-term clinical recovery and long-term disease control.
Keywords:
chronic sialadenitis salivary glands immunotherapy cytokines sialometry
References:
  1. Atkinson JC, Yeh CK. Salivary gland dysfunction and inflammation. J Dent Res. 2021;100(13):1419–1427. doi:10.1177/00220345211021876.
  2. Brook I. Diagnosis and management of salivary gland infections. Oral Maxillofac Surg Clin North Am. 2021;33(3):379–389. doi:10.1016/j.coms.2021.04.003.
  3. Capaccio P, Torretta S, Pignataro L. Medical and surgical management of recurrent sialadenitis. Curr Opin Otolaryngol Head Neck Surg. 2020;28(3):177–183. doi:10.1097/MOO.0000000000000630.
  4. Choi JS, Lim JY. Advances in the management of inflammatory salivary gland diseases. Laryngoscope Investig Otolaryngol. 2022;7(1):28–35. doi:10.1002/lio2.775.
  5. Cui X, Liu L, Duan C, Mao S, Wang G. A review of the roles of exosomes in salivary gland diseases with an emphasis on primary Sjögren's syndrome. J Dent Sci. 2025;20(1):1–14. doi:10.1016/j.jds.2024.10.001.
  6. Khaitov RM. Immunomodulatory peptides in clinical practice. Immunology Letters. 2021;235:45–52. doi:10.1016/j.imlet.2021.06.001.
  7. Kim Y. Biomarker-based management of salivary gland disorders. Clin Oral Investig. 2022;26(10):5921–5930. doi:10.1007/s00784-022-04674-7.
  8. Mantsopoulos K, Iro H. Chronic inflammatory diseases of salivary glands. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2020;19:Doc04.
  9. Moore J, Simpson MT, Cohen N, Beyea JA, Phillips T. Approach to sialadenitis. Clin Fam Pract. 2023;69(8):531–536. doi:10.46747/cfp.6908531.
  10. Proctor GB. The physiology of salivary secretion. Periodontol 2000. 2020;82(1):25–41. doi:10.1111/prd.12297.
  11. Rivera C. Emerging therapies in salivary gland inflammatory diseases. Oral Surg Oral Med Oral Pathol Oral Radiol. 2023;136(1):27–35. doi:10.1016/j.oooo.2023.03.001.
  12. Siddiqui SJ. Contemporary approach to chronic sialadenitis. Br J Oral Maxillofac Surg. 2023;61(5):560–567. doi:10.1016/j.bjoms.2023.01.003.
  13. Vassiliou AG. Peptide immunomodulators in chronic diseases. Pharmacol Res. 2021;169:105683. doi:10.1016/j.phrs.2021.105683.
  14. Villa A, Wolff A. Saliva as diagnostic fluid. Oral Dis. 2022;28(3):559–567. doi:10.1111/odi.13788.
  15. Zhang S. Cytokines in saliva: diagnostic perspectives. Cytokine. 2024;174:156–164. doi:10.1016/j.oooo.2023.03.001.
Publication:
«World of Medicine and Biology» Vol. 22 No. 1 (2026) , с. 12-16
УДК 616.316.2-002.2-085