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Marti et al: Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)
Veterinary Surgery 7, 2024

🔍 Key Findings

  • Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
  • Left-sided lesions were more prevalent (71%) among affected cats.
  • Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
  • Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
  • Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
  • Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
  • One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
  • Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.

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← Articles

Marti et al: Outcomes of surgically treated sialoceles in 21 cats: A multi‐institutional retrospective study (2010–2021)
Veterinary Surgery 7, 2024

🔍 Key Findings

  • Mandibular and sublingual glands were the most commonly involved salivary glands in feline sialoceles.
  • Left-sided lesions were more prevalent (71%) among affected cats.
  • Ranulae were present in over half (57%) of cases, highlighting the importance of thorough oral exams.
  • Surgical approaches included lateral, ventral, intraoral, or combinations thereof, with no recurrences reported.
  • Marsupialization alone (without gland removal) resolved clinical signs in 4/21 cats, with no short-term recurrence noted.
  • Complications occurred in 5/21 cats (24%), including incisional swelling and one case of feline oral pain syndrome.
  • One cat experienced iatrogenic injury from misidentification of the mandibular lymph node as the gland.
  • Median follow-up time beyond 30 days was 822 days (range: 90–1205), with no long-term recurrences or contralateral lesions observed.

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Multiple Choice Questions on this study

In Marti 2024 et al., on surgical outcomes in feline sialoceles, what complication occurred due to surgical misidentification?

A. Transection of facial nerve
B. Removal of sublingual gland instead of lymph node
C. Removal of mandibular lymph node instead of gland
D. Hemorrhage from jugular vein
E. Injury to glossopharyngeal nerve

Answer: Removal of mandibular lymph node instead of gland

Explanation: This was confirmed by histopathology; the error did not result in persistent clinical signs.
In Marti 2024 et al., on surgical outcomes in feline sialoceles, what conclusion was drawn about marsupialization alone as a treatment?

A. It was never successful
B. Associated with high recurrence
C. May be a viable first-line approach
D. Should only be used if sialolith is present
E. Only effective in molar gland cases

Answer: May be a viable first-line approach

Explanation: No recurrence was reported in cats treated with marsupialization alone, although long-term follow-up was limited.
In Marti 2024 et al., on surgical outcomes in feline sialoceles, which salivary glands were most frequently involved?

A. Parotid and zygomatic
B. Mandibular and molar
C. Sublingual and molar
D. Mandibular and sublingual
E. Parotid and sublingual

Answer: Mandibular and sublingual

Explanation: These two glands were identified in the majority of cases as the affected source, consistent with previous canine literature.
In Marti 2024 et al., on surgical outcomes in feline sialoceles, what was the reported recurrence rate after surgical treatment?

A. 0%
B. 5%
C. 12%
D. 23%
E. 30%

Answer: 0%

Explanation: No cats experienced recurrence or contralateral lesion formation during the follow-up period.
In Marti 2024 et al., on surgical outcomes in feline sialoceles, what was the most common clinical sign on presentation?

A. Cervical swelling
B. Exophthalmos
C. Respiratory distress
D. Ptyalism
E. Tongue deviation

Answer: Cervical swelling

Explanation: Over half the cats presented with cervical swelling, making it the most common clinical sign.

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