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使用一种自制唾液支架治疗涎囊肿

Management of Sialoceles Using an Indigenous Salivary Stent.

作者信息

Nayak Tulasi, Krishna Shreya, Bachalli Prithvi, Moorthy Aditya

机构信息

Department of Oral and Maxillofacial Surgery, Rangadore Memorial Hospital, Bengaluru, India.

出版信息

J Maxillofac Oral Surg. 2024 Feb;23(1):167-170. doi: 10.1007/s12663-023-01888-6. Epub 2023 Mar 28.

DOI:10.1007/s12663-023-01888-6
PMID:38312964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10830999/
Abstract

BACKGROUND

A Sialocele is a subcutaneous extravasation of saliva from the salivary gland secondary to traumatic disruption of its duct or parenchyma. It is observed after ablative head and neck surgery or due to trauma. Though there are several techniques described, there is no universal consensus on how to treat postoperative sialoceles.

PURPOSE

This paper describes a simple technique which was used to successfully treat 11 patients with postoperative sialoceles.

METHODS

In this paper we have described the use of an indigenously designed tapered stent used to decompress the sialocele. The decompression allows natural healing and fibrosis to occur over 4-6 days thereby resolving the sialocele.

RESULTS

11 patients with postoperative sialoceles were successfully treated using our technique.

CONCLUSION

The technique described by the authors is a simple, easy to perform procedure that can be managed in the outpatient office under local anesthesia with minimal equipment.

摘要

背景

涎囊肿是唾液腺导管或实质因外伤破裂而导致唾液在皮下外渗。它常见于头颈部消融术后或外伤后。虽然有多种治疗方法,但对于如何治疗术后涎囊肿尚无普遍共识。

目的

本文介绍一种成功治疗11例术后涎囊肿患者的简单技术。

方法

本文描述了使用自行设计的锥形支架对涎囊肿进行减压。减压可使自然愈合和纤维化在4 - 6天内发生,从而解决涎囊肿问题。

结果

11例术后涎囊肿患者使用我们的技术成功治愈。

结论

作者描述的技术是一种简单、易于实施的操作,可在门诊局部麻醉下使用最少的设备进行处理。

相似文献

1
Management of Sialoceles Using an Indigenous Salivary Stent.使用一种自制唾液支架治疗涎囊肿
J Maxillofac Oral Surg. 2024 Feb;23(1):167-170. doi: 10.1007/s12663-023-01888-6. Epub 2023 Mar 28.
2
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本文引用的文献

1
Indigenous Management of Parotid Sialocele Using Foley's Catheter: A Report of Two Cases.使用 Foley 导管对腮腺涎囊肿进行本土管理:两例报告
J Maxillofac Oral Surg. 2020 Jun;19(2):225-229. doi: 10.1007/s12663-019-01192-2. Epub 2019 Jan 30.
2
Sialocele: A rare sequlae of transparotid approach in subcondylar fracture management.涎囊肿:髁突骨折治疗中经腮腺入路罕见的后遗症。
Natl J Maxillofac Surg. 2016 Jul-Dec;7(2):201-204. doi: 10.4103/0975-5950.201363.
3
Use of Botox (OnabotulinumtoxinA) for the Treatment of Parotid Sialocele and Fistula After Extirpation of Buccal Squamous Cell Carcinoma With Immediate Reconstruction Using Microvascular Free Flap: A Report of 3 Cases.肉毒杆菌毒素(A型肉毒毒素)用于治疗颊部鳞状细胞癌切除术后腮腺涎囊肿和瘘管并即刻采用游离微血管皮瓣重建:3例报告
J Oral Maxillofac Surg. 2016 Aug;74(8):1678-86. doi: 10.1016/j.joms.2016.01.038. Epub 2016 Jan 29.
4
Management of an unusual case of iatrogenic parotid sialocele using an infant feeding tube: a novel approach.使用婴儿喂养管治疗一例罕见的医源性腮腺唾液囊肿:一种新方法。
BMJ Case Rep. 2014 Oct 19;2014:bcr2014205845. doi: 10.1136/bcr-2014-205845.
5
Iatrogenic salivary duct injury in head and neck cancer patients: Report of four cases and review of the literature.头颈部癌症患者医源性涎腺导管损伤:4例报告并文献复习
J Clin Exp Dent. 2014 Jul 1;6(3):e291-4. doi: 10.4317/jced.51438. eCollection 2014 Jul.
6
The incidence and management of siaolocele after parotidectomy.腮腺切除术后涎瘘的发生率及处理
Otolaryngol Head Neck Surg. 2009 Jun;140(6):871-4. doi: 10.1016/j.otohns.2009.01.021. Epub 2009 Apr 1.