PMID- 23986014 OWN - NLM STAT- MEDLINE DCOM- 20141204 LR - 20211021 IS - 1698-6946 (Electronic) IS - 1698-4447 (Print) IS - 1698-4447 (Linking) VI - 19 IP - 1 DP - 2014 Jan 1 TI - Minor salivary gland biopsy in Sjogren's syndrome: a review and introduction of a new tool to ease the procedure. PG - e20-3 AB - 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. CONCLUSION: The suggested approach for lip MSGB includes a specifically designed instrument whose performance during lip biopsy may contribute to minimize post-operative complications. FAU - Varela-Centelles, Pablo AU - Varela-Centelles P AD - Canton Grande 5, Apt 1 .E, 15003 A Coruna, Spain, juanmanuel.seoane@usc.es. FAU - Seoane-Romero, Juan-Manuel AU - Seoane-Romero JM FAU - Sanchez-Sanchez, Marina AU - Sanchez-Sanchez M FAU - Gonzalez-Mosquera, Antonio AU - Gonzalez-Mosquera A FAU - Diz-Dios, Pedro AU - Diz-Dios P FAU - Seoane, Juan AU - Seoane J LA - eng PT - Journal Article PT - Review DEP - 20140101 PL - Spain TA - Med Oral Patol Oral Cir Bucal JT - Medicina oral, patologia oral y cirugia bucal JID - 101231694 SB - IM MH - Biopsy/instrumentation/methods MH - Equipment Design MH - Humans MH - Lip/*pathology MH - Salivary Glands, Minor/*pathology MH - Sjogren's Syndrome/*pathology PMC - PMC3909427 COIS- Conflict of interest statement: The authors have declared that no conflict of interest exist. EDAT- 2013/08/30 06:00 MHDA- 2014/12/15 06:00 PMCR- 2014/01/01 CRDT- 2013/08/30 06:00 PHST- 2013/02/17 00:00 [received] PHST- 2013/04/17 00:00 [accepted] PHST- 2013/08/30 06:00 [entrez] PHST- 2013/08/30 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] PHST- 2014/01/01 00:00 [pmc-release] AID - 19131 [pii] AID - 10.4317/medoral.19131 [doi] PST - epublish SO - Med Oral Patol Oral Cir Bucal. 2014 Jan 1;19(1):e20-3. doi: 10.4317/medoral.19131.