Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Am J Otolaryngol. 2011 Jan-Feb;32(1):85-7. doi: 10.1016/j.amjoto.2009.09.011. Epub 2009 Dec 22.
Salivary stones larger than 15 mm are classified as giant sialoliths. They are uncommon in the practice of otolaryngology, and their management has always been a therapeutic challenge. Traditionally, when they cannot be retrieved by marsupialization, removal of the salivary gland has been advocated. Sialendoscopy and the recent development of combined endoscopic and external approaches for extraction of large stones with preservation of the major salivary glands are promising. We present the first case of simultaneous bilateral giant sialoliths, and the first report that associates giant sialoliths and the use of salivary endoscopy. In this case, both giant stones were removed with the assistance of a salivary endoscope and without removing the submandibular glands.
直径大于 15 毫米的唾液腺结石被归类为巨大唾液腺结石。在耳鼻喉科的临床实践中并不常见，其治疗一直是一个挑战。传统上，当无法通过袋形缝合术取出时，主张切除唾液腺。唾液腺内镜检查以及最近发展起来的联合内镜和外部方法提取大结石并保留主要唾液腺具有广阔的前景。我们报告首例双侧巨大唾液腺结石病例，也是首例报道巨大唾液腺结石与唾液腺内镜使用相关的病例。在该病例中，在唾液腺内镜的辅助下，无需切除下颌下腺，就成功取出了这两个巨大的结石。
