Walvekar Rohan R, Bomeli Steven R, Carrau Ricardo L, Schaitkin Barry
Department of Otolaryngology and Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213 , USA.
Laryngoscope. 2009 Jun;119(6):1125-9. doi: 10.1002/lary.20203.
OBJECTIVES/HYPOTHESIS: To review our experience with the combined approach, which includes an internal (endoscopic) and open approach for the management of large salivary stones.
Retrospective.
Clinical data was reviewed on patients who underwent combined approach for large salivary stones from July 2005 to August 2008 under an institutional review board approved protocol.
Of 106 patients who underwent sialendoscopy, 19 patients (18%) had 20 combined procedures. Thirteen patients (68%) were women and six men (32%) with a mean age of 52 years (range, 15-69 years). Operative times were shorter for submandibular stones (mean, 90 minutes) as compared to parotid stones (mean, 133 minutes). Stone removal was successful in 90% (18/20) with no major complications and minor complications in four patients (20%).
The combined procedure allows complete removal of large or impacted sialoliths without the need for removal of the entire gland with acceptable complication rates. We also recommend consenting patients for this approach when a difficult endoscopic removal is anticipated. Laryngoscope, 2009.
目的/假设：回顾我们采用联合方法（包括内镜下和开放手术方法）治疗大唾液腺结石的经验。
回顾性研究。
对2005年7月至2008年8月期间在机构审查委员会批准的方案下接受联合方法治疗大唾液腺结石的患者的临床资料进行回顾。
在106例行唾液腺内镜检查的患者中，19例（18%）接受了20次联合手术。13例（68%）为女性，6例（32%）为男性，平均年龄52岁（范围15 - 69岁）。与腮腺结石（平均133分钟）相比，下颌下腺结石的手术时间较短（平均90分钟）。结石清除成功率为90%（18/20），无重大并发症，4例（20%）出现轻微并发症。
联合手术能够在可接受的并发症发生率下，无需切除整个腺体即可完全清除大的或嵌顿的涎石。当预计内镜下难以清除结石时，我们也建议告知患者可采用这种方法。《喉镜》，2009年。
