Kondo Norio, Yoshihara Toshio, Yamamura Yukie, Kusama Kaoru, Sakitani Eri, Seo Yukako, Tachikawa Mayako, Kujirai Keiko, Ono Erika, Maeda Yasuyo, Nojima Tomohito, Tamiya Akiko, Sato Emiri, Nonaka Manabu
Department of Otolaryngology, Tokyo Women's Medical University, 8-1, Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.
Department of Otolaryngology, Tohto Bunkyo Hospital, 3-5-7, Yushima, Bunkyo-ku, Tokyo 113-0034, Japan.
Auris Nasus Larynx. 2018 Aug;45(4):772-776. doi: 10.1016/j.anl.2017.09.003. Epub 2017 Sep 19.
To assess the general guidelines for the removal of sialoliths for submandibular gland sialolithiasis using sialendoscopy alone.
We analyzed 61 sialoliths treated using sialendoscopy in 42 patients with submandibular gland sialolithiasis. We evaluated the submandibular gland sialoliths and divided each case based upon the location: the Wharton's duct or the hilum. We measured the major and minor axes of the sialoliths using a soft tissue computed-tomography (CT) scan and evaluated the removal rate of the sialoliths using sialendoscopy alone.
The removal rate of the sialoliths in the Wharton's duct (52.6%) was significantly higher than that in the hilum of the submandibular gland (26.1%) (P=0.042). The minor axis was significantly correlated to the treatment outcome of sialendoscopy alone for all cases (P=0.030). A significant correlation was observed for cases involving the hilum of the submandibular gland and the measurement of the minor axes of the sialoliths for the treatment outcome of sialendoscopy alone (P=0.009). The major axis showed no correlation with the treatment outcomes of sialendoscopy alone.
The measurement of the minor axes of the sialoliths with a soft tissue CT scan was correlated with treatment outcome of sialendoscopy alone for all cases, particularly sialoliths in the hilum. The easurement of the major axis showed no correlation with outcomes of sialendoscopy alone.
评估仅使用唾液腺内镜治疗下颌下腺涎石病时涎石取出的一般指南。
我们分析了42例下颌下腺涎石病患者中使用唾液腺内镜治疗的61颗涎石。我们评估了下颌下腺涎石，并根据位置将每个病例分为：沃顿管或腺门。我们使用软组织计算机断层扫描（CT）测量涎石的长轴和短轴，并仅使用唾液腺内镜评估涎石的取出率。
沃顿管内涎石的取出率（52.6%）显著高于下颌下腺腺门处的涎石取出率（26.1%）（P = 0.042）。对于所有病例，短轴与仅使用唾液腺内镜的治疗结果显著相关（P = 0.030）。对于涉及下颌下腺腺门的病例以及仅使用唾液腺内镜治疗结果的涎石短轴测量，观察到显著相关性（P = 0.009）。长轴与仅使用唾液腺内镜的治疗结果无相关性。
使用软组织CT扫描测量涎石的短轴与所有病例中仅使用唾液腺内镜的治疗结果相关，特别是腺门处的涎石。长轴测量与仅使用唾液腺内镜的结果无相关性。
