IR@PKUHSC  > 北京大学口腔医学院  > 医学影像科
学科主题口腔医学
Diagnosis and management of sialolithiasis with a semirigid endoscope
Liu, Deng-gao1; Zhang, Zu-yan1; Zhang, Ye2; Zhang, Lei2; Yu, Guang-yan2
刊名ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY
2009-07-01
DOI10.1016/j.tripleo.2009.01.004
108期:1页:9-14
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Dentistry, Oral Surgery & Medicine
研究领域[WOS]Dentistry, Oral Surgery & Medicine
关键词[WOS]SALIVARY-GLANDS ; DISEASES ; STONES ; EXPERIENCE ; DUCTS
英文摘要

Objective. The aim was to evaluate a semirigid endoscopic technique for diagnosis and management of sialolithiasis.

Study design. Diagnostic and interventional sialendoscopic procedures were performed in 90 patients with sialoliths (78 submandibular glands and 12 parotid glands).

Results. Owing to its extreme flexibility and rigidity, the endoscope can be introduced easily into the ductal system. Sialoliths with a round or irregular shape were detected by endoscopy in all cases, including 84 radiopaque and 6 radiolucent stone cases. Of the 78 cases with sialoliths in the submandibular (Wharton′s) duct, 14 were present in the hilum of the main duct, 34 in the premolar region of the duct, 24 in the molar region of the duct, and 6 in both the premolar and the molar regions of the duct. Among these cases, we could remove the stones intraductally in 44 cases by endoscopy alone. Additionally, 6 cases were treated with basket retrieval and endoscopic-assisted surgery, and the remaining 27 were treated with endoscopic-assisted surgery. Of the 12 cases of sialoliths in the parotid (Stensen′s) duct, 9 were treated with basket retrieval and 1 with basket-capturing and open surgery via a buccal incision. In total, 87 of 90 cases were successfully treated, with (n = 34) or without (n = 53) endoscopic-assisted surgery. These patients were stone free at their last follow-up (3 to 30 months).

Conclusions. The semirigid endoscope permits a better visualization of sialoliths and coexisting obstructive pathologies. With minimally invasive procedures, most stones in the main duct of the salivary gland can be removed using either an intraductal or an extraductal approach. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 9-14)

语种英语
WOS记录号WOS:000267153700003
Citation statistics
Cited Times:9[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/55404
Collection北京大学口腔医学院_医学影像科
作者单位1.Peking Univ, Sch & Hosp Stomatol, Dept Oral Radiol, Beijing 100081, Peoples R China
2.Peking Univ, Sch & Hosp Stomatol, Dept Oral & Maxillofacial Surg, Beijing 100081, Peoples R China
Recommended Citation
GB/T 7714
Liu, Deng-gao,Zhang, Zu-yan,Zhang, Ye,et al. Diagnosis and management of sialolithiasis with a semirigid endoscope[J]. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY,2009,108(1):9-14.
APA Liu, Deng-gao,Zhang, Zu-yan,Zhang, Ye,Zhang, Lei,&Yu, Guang-yan.(2009).Diagnosis and management of sialolithiasis with a semirigid endoscope.ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY,108(1),9-14.
MLA Liu, Deng-gao,et al."Diagnosis and management of sialolithiasis with a semirigid endoscope".ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY 108.1(2009):9-14.
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