van der Meij Erik H, Pijpe Justin, van Ingen Johan M, de Visscher Jan G A M
Medisch Centrum Leeuwarden, afd. Mondziekten, Kaak- en Aangezichtschirurgie, Leeuwarden, the Netherlands.
Ned Tijdschr Geneeskd. 2013;157(6):A5675.
Obstructive disorders of the salivary glands usually manifest as a swelling which is associated with meals ('mealtime syndrome') as well as inflammation of the gland. Obstruction of the salivary ducts of the parotid and submandibular glands is usually caused by a salivary stone, mucous plug or by a stenosis. Until recently, the options for diagnosis and treating these conditions were limited. Ultimately, the decision to remove the salivary gland was often made. Sialendoscopy is a recently developed semi-rigid optical technique that can be used to detect and usually treat obstructions in the salivary ductal system. This new, minimally invasive technique has resulted in the reduction of morbidity related to salivary gland obstruction. In many patients, surgical removal of the salivary gland can be avoided by using this technique.
唾液腺阻塞性疾病通常表现为肿胀,这与进食有关(“进餐时综合征”)以及腺体炎症。腮腺和下颌下腺唾液导管的阻塞通常由涎石、黏液栓或狭窄引起。直到最近,诊断和治疗这些病症的选择都很有限。最终,往往会决定切除唾液腺。唾液腺内镜检查是一种最近开发的半刚性光学技术,可用于检测并通常治疗唾液导管系统中的阻塞。这种新的微创技术降低了与唾液腺阻塞相关的发病率。在许多患者中,使用该技术可以避免手术切除唾液腺。