McGurk M, MacBean A D, Fan K F M, Sproat C, Darwish C
Departmetnt of Oral and Maxillofacial Surgery, Guy's Hospital, Salivary Gland Service, Floor 23, Guy's Tower, London SE1 9RT, UK.
Br J Oral Maxillofac Surg. 2006 Apr;44(2):157-60. doi: 10.1016/j.bjoms.2005.03.026. Epub 2005 Jun 13.
The treatment of large parotid stones remains a problem. We describe a technique in which microendoscopy is used to locate the stone and facilitate its removal. Over a 12-month period, eight patients were treated and seven stones removed successfully. The remaining duct was obstructed by a stricture. In six instances, the parotid duct was repaired and in two ligated. The mean follow up was 10 months (range 6-18) and there have been no complications. Our initial experience suggests that microendoscopy to locate the stone and facilitate its removal is an option in the management of persistent parotid stones.
大型腮腺结石的治疗仍然是个难题。我们描述了一种使用微型内镜定位结石并便于其取出的技术。在12个月的时间里，对8例患者进行了治疗，成功取出了7块结石。剩余导管被狭窄阻塞。6例患者修复了腮腺导管，2例进行了结扎。平均随访10个月（范围6 - 18个月），未出现并发症。我们的初步经验表明，微型内镜定位结石并便于其取出是治疗持续性腮腺结石的一种选择。
