James Cook University and Townsville Hospital, Queensland. Robert_
Aust Dent J. 2013 Mar;58(1):112-6. doi: 10.1111/adj.12026. Epub 2013 Feb 3.
There are many causes for benign salivary gland disease but the most common relate to inflammation and infection. This usually revolves around duct obstruction and a reduction in the normal salivary flow from the gland into the mouth. This leads to retention of saliva, proximal to the obstruction and ascending infection from the mouth, usually because of the decrease in salivary flow. The increase in tension behind the obstruction causes significant pain and swelling, along with the inevitable infection if the obstruction is not relieved. This paper discusses the various treatments available for benign salivary gland disease, the traditional methods of treatment through to the use of endoscopic techniques which are currently available, including a discussion about the use of sialoendoscopy.
良性唾液腺疾病有许多原因,但最常见的与炎症和感染有关。这通常与导管阻塞以及腺体正常分泌的唾液减少进入口腔有关。这导致唾液在阻塞的近端滞留,并从口腔向上逆行感染,通常是由于唾液流量减少所致。阻塞后面的张力增加会导致明显的疼痛和肿胀,如果不解除阻塞,还会导致不可避免的感染。本文讨论了良性唾液腺疾病的各种治疗方法,包括传统的治疗方法和目前可用的内镜技术,包括对涎管内镜使用的讨论。