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下颌下腺结石手术治疗的并发症(作者译)

[Complications of surgical treatment for submandibular calculi (author's transl)].

作者信息

Goudal J Y, Bertrand J C

出版信息

Rev Stomatol Chir Maxillofac. 1979;80(6):349-50.

PMID:294667
Abstract

It is not unusual for complications to occur after surgical treatment for submandibular calculi, and 4 types were observed during operations on wharton's duct. These were: absence of calculi, breaking of a needle, hematoma of the floor of the mouth, and lost calculi. Later complications were more frequent and included a return of symptoms without residual calculi, false cysts in the floor and affections of the tongue. True recurrence is also possible. Severe postoperative complications such as hematoma of the floor of the mouth may occur after submaxillectomy. Sequelae are much more frequently noted, including neurological lesions (of the lingual and facial nerves or more rarely the XIIth nerve), pseudocysts, or cutaneous fistulae. In a critical analysis of the incidents, even very mild ones, noted in a series of 210 patients, a total of 110 were found, equal to more than half the cases.

摘要

下颌下腺结石手术治疗后出现并发症并不罕见,在沃顿管手术过程中观察到4种类型。这些类型包括:结石缺失、针折断、口底血肿和结石丢失。后期并发症更为常见,包括无残留结石时症状复发、口底假性囊肿和舌部病变。真正的复发也是可能的。下颌下腺切除术后可能会发生严重的术后并发症,如口底血肿。后遗症更为常见,包括神经病变(舌神经和面神经,或更罕见的第十二对脑神经)、假性囊肿或皮肤瘘。在对210例患者系列中记录的事件(即使是非常轻微的事件)进行批判性分析时,共发现110例,超过病例总数的一半。

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