Haas Orion Luiz, Scolari Neimar, da Silva Meirelles Lucas, Favoretto André Xavier, de Oliveira Rogério Belle
Department of Oral and Maxillofacial Surgery, Pontificial Catholic University of Rio Grande do Sul, PUC/RS, Av. Ipiranga, n.6681, Building 6, Porto Alegre, Rio Grande do Sul, 91530-001, Brazil.
Oral Maxillofac Surg. 2018 Mar;22(1):105-111. doi: 10.1007/s10006-018-0674-1. Epub 2018 Jan 22.
Sialolithiasis is defined as the presence of one or more calcified structures within the duct of a major or minor salivary gland. It occurs as a result of deposition of calcium salts around an accumulation of organic debris in the duct lumen. The main signs and symptoms are edema and bacterial infection with abscess formation.
This study aimed to report two cases of submandibular sialolithiasis treated surgically with diode laser and conduct a review of the literature by means of a systematic search. In the two cases, the calculi were located in the distal part of the submandibular duct and could be palpated intraorally. Surgery was performed in an outpatient setting under local anesthesia. A linear incision was made in the floor of the mouth, in the region of the opening of Wharton's duct, to expose and remove the calculi. Laser cutting was performed using a diode laser module coupled to a 400-μm optical fiber emitting at a wavelength of 980 nm (infrared), 2.5 W output power, and in continuous pulse mode.
The use of diode laser is a safe and minimally invasive option for this type of procedure.
Offering advantages such as enhanced coagulation properties and high-quality incision, absence of bleeding, low risk of nerve damage, and few comorbidities.
涎石病定义为在大涎腺或小涎腺导管内存在一个或多个钙化结构。它是由于导管腔内有机碎屑积聚周围钙盐沉积所致。主要体征和症状为水肿以及细菌感染伴脓肿形成。
本研究旨在报告两例采用二极管激光手术治疗的下颌下涎石病病例，并通过系统检索对文献进行综述。在这两例病例中，结石位于下颌下腺导管远端，可经口腔触及。手术在局部麻醉下于门诊进行。在沃顿管开口区域的口腔底部做一条直线切口，以暴露并取出结石。使用与一根400μm光纤耦合的二极管激光模块进行激光切割，该光纤发射波长为980nm（红外线）的光，输出功率为2.5W，采用连续脉冲模式。
对于此类手术，使用二极管激光是一种安全且微创的选择。
具有诸如增强凝血特性、高质量切口、无出血、神经损伤风险低以及并发症少等优点。
