Sialoendoscopically-assisted sialolithectomy for the hilar stones of the Wharton's duct
- Author:
- No author available
- Journal Title:
- Chinese Journal of Stomatology
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1002-0098.2012.03.007
- Key Word:
- 颌下腺;涎腺结石;自然腔道内镜手术;Submandibular gland;Salivary gland calculi;Natural orifice endoscopic surgery
Abstract： Objective To investigate the clinical effects of sialoendoscopically-assisted sialolithectomy for the sialolithiasis in the hilum of the submandibular glands.Methods Between December 2005 and March 2011, treated 80 cases of radiography-verified sialiolithiasis in the hilum of the submandibular glands,The patients included 42 males and 38 females aged from 13 to 68 years.All these patients underwent sialoendoscopic observation and sialoendoscopically-assisted sialolithectomy and were followed up periodically for 3-6 months after operation. The success rate of stone removal,postoperative complications and clinical effects were analysed.Results The stones were completely removed in 71 cases,and almost completely removed in 5 cases,with a successful rate of 95％ (76/80).Among 76 successful cases,8 were treated by basket entrapment,59 by intraoral open surgery and 9 by both of these two techniques.Within 3-6 months' follow-up,1 case suffered temporary lingual nerve parenthesis and two suffered ranula formation.Conclusions Sialoendoscopically-assisted sialolithectomy is a safe and effective gland-preservation technique for the patients with the hilum of the submandibular glands.
- [1]M P, Escudier,M, McGurk.Symptomatic sialoadenitis and sialolithiasis in the English population, an estimate of the cost of hospital treatment.[J].1999,186(9).
- [2]P, Capaccio,S, Torretta,F, Ottavian,etc.Modern management of obstructive salivary diseases.[J].2007,27(4).
- [3]Katz P,Escudier MP,Capaccio P,etc.Outcome of minimally invasive management of salivary calculi in 4,691 patients.[J].2009,119(2).
- [4]Su YX,Liao GQ,Zheng G.Sialoendoscopically assisted open sialolithectomy for removal of large submandibular hilar calculi.[J].2010,68(1).
- [5]Zhang Y,Zhang ZY,Liu DG.Diagnosis and management of sialolithiasis with a semirigid endoscope.[J].2009,108(1).
- [6]McGurk M.Surgical release of a stone from the hilum of the submandibular gland: a technique note.[J].2005,34(2).
- [7]J, Makdissi,M P, Escudier,J E, Brown,etc.Glandular function after intraoral removal of salivary calculi from the hilum of the submandibular gland.[J].2004,42(6).
- [8]Drebber U,Beutner D,Klussmann JP,etc.Submandibular gland excision: 15 years of experience.[J].2007,65(5).
- [9]Nahlieli O,Baruchin AM.Long-term experience with endoscopic diagnosis and treatment of salivary gland inflammatory diseases.[J].2000,110(6).
- [10]Zhang L,Escudier M,Brown J,etc.Long-term outcome after intraoral removal of large submandibular gland calculi.[J].2010,120(5).
- [11]Zenk J,Iro H,Koch M.Algorithms for treatment of salivary gland obstructions.[J].2009,42(6).