Matsumoto Kousuke, Tanakura Makiko, Mitani Izumi, Kimoto Akira, Akashi Masaya
Department of Oral and Maxillofacial Surgery, Japan Community Health Care Organization, Kobe Central Hospital, Kobe, Japan.
Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
J Lasers Med Sci. 2021 May 10;12:e19. doi: 10.34172/jlms.2021.19. eCollection 2021.
Salivary stones inside the Wharton's duct adjacent to the mylohyoid muscle are often removed by a little incision of the mouth floor under local anesthesia. However, in the case of relatively large salivary stones, a large incision is required, which is commonly accompanied by hemorrhage and the need for surgical hemostasis, resulting in prolonged surgery. Furthermore, troublesome sequelae such as ranula and lingual nerve paralysis can occur after surgical procedures. Two patients who had relatively large salivary stones (>1 cm diameter) in the Wharton's duct were underwent incision of the mouth floor soft tissues with a CO laser. In both patients, the stone was removed in a few minutes without causing abnormal bleeding, nerve injury, or sublingual gland disorders and was completely healed. We report the usefulness and safety of the CO laser in two patients with relatively large salivary stones, who underwent successful surgical removal.
沃顿管内靠近下颌舌骨肌的涎石通常在局部麻醉下通过口腔底部的小切口取出。然而，对于相对较大的涎石，需要做大切口，这通常会伴有出血以及手术止血的需求，导致手术时间延长。此外，手术后可能会出现诸如舌下囊肿和舌神经麻痹等麻烦的后遗症。两名沃顿管内有相对较大涎石（直径>1厘米）的患者接受了用CO激光切开口腔底部软组织的手术。在这两名患者中，几分钟内就取出了结石，没有引起异常出血、神经损伤或舌下腺疾病，并且完全愈合。我们报告了CO激光在两名有相对较大涎石的患者中的有效性和安全性，他们成功接受了手术切除。
