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IR@PKUHSC  > 北京大学口腔医学院  > 医学影像科  > 期刊论文
学科主题: 口腔医学
题名:
Diagnosis and management of sialolithiasis with a semirigid endoscope
作者: 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
发表日期: 2009-07-01
DOI: 10.1016/j.tripleo.2009.01.004
卷: 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:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55404
Appears in Collections:北京大学口腔医学院_医学影像科_期刊论文

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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:
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.
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