van der Meij E H, Pijpe J, van Ingen J M, de Visscher J G A M
Uit de afdeling Mondziekten, Kaak- en Aangezichtschirurgie van het Medisch Centrum Leeuwarden.
Ned Tijdschr Tandheelkd. 2013 Sep;120(9):452-7. doi: 10.5177/ntvt.2013.09.13154.
Sialendoscopy: endoscopic approach to obstructive salivary gland defects Obstructive defects of the parotid and the submandibular gland often present themselves clinically by mealtime-related swelling of the affected salivary gland, the so-called 'mealtime syndrome'. Salivary ductal obstruction of the parotid and submandibular gland is predominantly caused by the presence of a salivary stone, a mucous plug, or by ductal stenosis. Until recently, diagnostic and treatment options for these obstructive salivary gland defects were restricted. Surgical removal of the affected salivary gland was often the treatment of choice. By applying sialendoscopy, a minimally invasive, semi rigid optical technique, it is possible to diagnose and treat obstructions which are found in the salivary ductal system. In many cases, therefore, the surgical removal of the salivary gland becomes unnecessary.
阻塞性唾液腺缺损的内镜治疗方法 腮腺和下颌下腺的阻塞性缺损在临床上常表现为进食相关的患侧唾液腺肿胀，即所谓的“进食综合征”。腮腺和下颌下腺的唾液导管阻塞主要由涎石、黏液栓或导管狭窄引起。直到最近，这些阻塞性唾液腺缺损的诊断和治疗选择仍然有限。手术切除患侧唾液腺往往是首选治疗方法。通过应用唾液腺内镜检查这一微创、半刚性的光学技术，可以诊断和治疗唾液导管系统中发现的阻塞。因此，在许多情况下，唾液腺的手术切除变得不再必要。
