牙科X线片检查后获得性颌下腺导管狭窄的唾液腺内镜治疗
Acquired Wharton's duct stenosis after dental radiographs treated with sialendoscopy.
作者信息
Kieliszak Christopher R, Shokri Tom, Joshi Arjun S
机构信息
Department of Otolaryngology, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Medical School, George Washington University, Washington, District of Columbia, USA.
出版信息
BMJ Case Rep. 2015 Apr 26;2015:bcr2014209117. doi: 10.1136/bcr-2014-209117.
Salivary gland trauma may result in ductal stenosis and chronic sialadenitis. We describe a case of an 81-year-old woman with a history of intermittent left submandibular swelling that began after recent dental examination and radiographs. Diagnostic sialendoscopy was performed and demonstrated a near complete distal stenosis. It was determined that trauma experienced during dental radiography may have resulted in the patient's ductal obstruction and subsequent sialadenitis. This case illustrates an unusual presentation of non-sialolith-related ductal obstruction in the submandibular gland, treated with sialendoscopic-assisted sialodochoplasty.
唾液腺创伤可能导致导管狭窄和慢性涎腺炎。我们描述了一例81岁女性病例，该患者有间歇性左下颌下肿胀病史，此症状始于近期的牙科检查和X光片检查之后。进行了诊断性涎腺内镜检查，结果显示远端几乎完全狭窄。经判定，牙科X光检查期间所经历的创伤可能导致了患者的导管阻塞及随后的涎腺炎。该病例说明了下颌下腺非涎石相关导管阻塞的一种不寻常表现，采用涎腺内镜辅助涎腺导管成形术进行了治疗。
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