Laudenbach P, Chargari S, Allard P
Rev Stomatol Chir Maxillofac. 1979;80(6):334-43.
The authors describe ten patients with calculi in various regions of the submandibular gland, who were operated upon using the buccal approach, and review the different therapeutic procedures available. Though removal of the submandibular gland is a mutilating operation and has many sequelae when operated upon through the submandibular approach, it is still, surprisingly, the standard operative procedure for removal of posterior calculi, even though Delaire had already expressed his logical preference for the buccal approach, 23 years ago. This procedure was used in the 10 cases reported here and results were very good, and there were no sequelae. A strict operative technique is necessary, including general anaesthesia and dissection of Wharthon's duct along its whole length as the essential factors.
作者描述了10例下颌下腺不同部位有结石的患者，他们采用颊侧入路进行手术，并回顾了现有的不同治疗方法。尽管切除下颌下腺是一种致残性手术，通过下颌下入路手术会有许多后遗症，但令人惊讶的是，即使23年前德莱尔就已合理地倾向于颊侧入路，切除后部结石的标准手术方法仍是如此。本文报道的10例病例采用了该手术方法，效果非常好，且无后遗症。需要严格的手术技巧，包括全身麻醉以及沿沃顿管全长进行解剖，这些是关键因素。
