Department of Oral and Maxillofacial Surgery, La Conception University Hospital, Aix-Marseille University, 147, boulevard Baille, 13005 Marseille, France.
Department of Oral and Maxillofacial Surgery, La Conception University Hospital, Aix-Marseille University, 147, boulevard Baille, 13005 Marseille, France.
J Stomatol Oral Maxillofac Surg. 2020 Dec;121(6):736-739. doi: 10.1016/j.jormas.2020.04.001. Epub 2020 Apr 14.
Sialolithiases mainly affect the submandibular gland. More often, the lithiasis is large and located at the junction of the middle and the posterior third of the duct, in the hilum region. In such situation, transoral approach is recommended to avoid sialadenectomy because of its lower morbidity.
Because of our experience, with over 300 cases operated with this transoral approach, we have decided to describe the tips and tricks that can help the surgeon who operates large stones impacted in the hilum of the submandibulary gland.
The benefits of these tips and tricks are exposed.
These keypoints can help to overcome intraoperative issues and save time.
涎石病主要影响下颌下腺。更常见的是,结石较大,位于导管的中部和后三分之一交界处,位于腺门区域。在这种情况下,由于其发病率较低,建议采用经口入路以避免涎腺切除术。
根据我们超过 300 例采用这种经口入路手术的经验,我们决定描述一些技巧,以帮助手术医生处理位于下颌下腺门部的大结石。
阐述了这些技巧的优点。
这些要点有助于克服术中问题并节省时间。