Ramanojam Shandilya, Merchant Yash, Bhardwaj Smita, Kesari Ayushee
*Dental College and Hospital, Bharati Vidyapeeth Deemed University †C2, G-1, Shalini Vishwa ‡Department Oral Medicine and Radiology, Dental College and Hospital, Bharati Vidyapeeth Deemed University, Pune, Maharashtra, India.
J Craniofac Surg. 2017 Jun;28(4):e363-e364. doi: 10.1097/SCS.0000000000003575.
Idiopathic sialolithiasis is one of the most common affliction of the salivary glands with the submandibular gland most frequently involved. The article discusses the occurrence and incidence of this condition with a review of different diagnostic and treatment modalities. In light of several advances to diagnose and treat sialolithiasis, a simple sialolithotomy for idiopathic submandibular gland sialolithiasis may prove to be a preferred treatment for selected patients as it remains a cost-effective and simple out-patient department procedure with minimal/no complications and a highly satisfactory outcome. For stones slightly proximal in the Wharton duct, a "dual" approach of milking the gland to bring the stone more distally followed by a sialolithotomy with a scalpel proves to be a quick and effective procedure.
特发性涎石病是唾液腺最常见的疾病之一，其中下颌下腺受累最为频繁。本文讨论了该疾病的发生情况和发病率，并回顾了不同的诊断和治疗方法。鉴于诊断和治疗涎石病的多项进展，对于特发性下颌下腺涎石病，简单的涎石切除术可能被证明是某些特定患者的首选治疗方法，因为它仍然是一种经济高效且简单的门诊手术，并发症极少或无并发症，且治疗效果非常令人满意。对于沃顿管中位置稍近近端的结石，采用“双重”方法，即挤压腺体使结石更向远端移动，然后用手术刀进行涎石切除术，是一种快速有效的手术。
