Li Jin, Xu Xiang Yang, Lu Zhi Wen, Guan Qing Bin, Chen Ju Feng
Department of Oral and Maxillofacial Surgery, The People's Hospital of Luoding and Affiliated Luoding Hospital of Guangdong Medical University, Luoding, China.
Department of Oral and Maxillofacial Surgery, Affiliated Foshan Hospital of Sun Yat-Sen University, Foshan, China.
Wideochir Inne Tech Maloinwazyjne. 2021 Mar;16(1):249-255. doi: 10.5114/wiitm.2020.94430. Epub 2020 Apr 14.
Sialoliths can be removed by sialendoscopy in some cases. But sometimes it fails if the stone is located in the proximal or hilum of Wharton's duct.
To evaluate the clinical efficacy of the sialendoscopy-assisted intraoral incision approach to remove large stones located in the proximal or hilum of Wharton's duct, when sialendoscopy alone fails.
Twenty patients with large stones located in the proximal or hilum of Wharton's duct were included in our study. We used a sialendoscopy-assisted intraoral incision approach to remove large stones located in the proximal or hilum of Wharton's duct when endoscopy failed. The complications and treatment effect were observed.
The stones were removed successfully in this way in all patients. Two cases had tongue numbness after the operation, and recovered 3 months later without additional intervention. No swelling or pain appeared during the 3-month to 1-year follow-up. Saliva could be observed from the orifice in 15 patients, with little or none in 5 patients.
The sialendoscopy-assisted intraoral incision approach to remove large stones located in the proximal or hilum of Wharton's duct is effective and safe.
在某些情况下，涎石可通过涎腺内镜取出。但如果结石位于颌下腺导管近端或腺门处，有时会失败。
评估当单纯涎腺内镜取石失败时，涎腺内镜辅助口内切口法取出位于颌下腺导管近端或腺门处大结石的临床疗效。
本研究纳入20例结石位于颌下腺导管近端或腺门处的患者。当内镜取石失败时，我们采用涎腺内镜辅助口内切口法取出位于颌下腺导管近端或腺门处的大结石。观察并发症及治疗效果。
所有患者均通过这种方法成功取出结石。2例术后出现舌麻木，3个月后自行恢复，无需额外干预。在3个月至1年的随访期间，未出现肿胀或疼痛。15例患者可见唾液从开口处流出，5例患者唾液很少或无唾液流出。
涎腺内镜辅助口内切口法取出位于颌下腺导管近端或腺门处的大结石有效且安全。
