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唾液腺内镜检查结果的预测因素。

Predictive factors for outcomes of sialoendoscopy.

作者信息

Damasceno Barreto Hannah, Steck Jose Higino, Serpa Steck Samuel, Silva de Carvalho Diogo, Takahiro Chone Carlos

机构信息

Universidade Estadual de Campinas (UNICAMP), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.

Universidade Estadual de Campinas (UNICAMP), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.

出版信息

Braz J Otorhinolaryngol. 2025 Sep-Oct;91(5):101631. doi: 10.1016/j.bjorl.2025.101631. Epub 2025 May 14.

DOI:10.1016/j.bjorl.2025.101631
PMID:40373690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12144423/
Abstract

OBJECTIVES

We evaluated the epidemiological and clinical factors related to the complications and failure of sialoendoscopy.

METHODS

This retrospective study analyzed the medical records of patients who underwent sialoendoscopy between 2010 and 2019.

RESULTS

Of the 174 sialoendoscopies analyzed, 125 (71.8%) were performed in women, and 114 (65.5%), in the parotid gland. The most prevalent complications described were false path (4.59%) and restenosis (2.30%). Complications in the submandibular gland were 3.43 times more common than those in the parotid gland and procedures in that gland were less successful (86.7% vs. 91.2%). Sialolithiasis treatment was most strongly associated with complications and failure then the other groups.

CONCLUSION

Sialoendoscopy has uncommon and limited complications. Procedures in the submandibular gland and for sialolithiasis treatment were more likely to result in complications and recurrences.

摘要

目的

我们评估了与唾液腺内镜检查并发症及失败相关的流行病学和临床因素。

方法

这项回顾性研究分析了2010年至2019年间接受唾液腺内镜检查的患者的病历。

结果

在分析的174例唾液腺内镜检查中,125例(71.8%)在女性中进行,114例(65.5%)在腮腺进行。描述的最常见并发症是假道(4.59%)和再狭窄(2.30%)。下颌下腺的并发症比腮腺的并发症常见3.43倍,且该腺体的手术成功率较低(86.7%对91.2%)。与其他组相比,涎石病治疗与并发症和失败的关联最为密切。

结论

唾液腺内镜检查的并发症罕见且有限。下颌下腺手术和涎石病治疗更有可能导致并发症和复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/743a/12144423/8169d3fb3451/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/743a/12144423/8169d3fb3451/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/743a/12144423/8169d3fb3451/gr1.jpg

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本文引用的文献

1
Approach to sialadenitis.涎腺炎的处理方法。
Can Fam Physician. 2023 Aug;69(8):531-536. doi: 10.46747/cfp.6908531.
2
Sialendoscopy for treatment of major salivary glands diseases: a comprehensive analysis of published systematic reviews and meta-analyses.涎腺镜治疗涎腺疾病:已发表系统评价和荟萃分析的综合分析。
Braz J Otorhinolaryngol. 2023 Sep-Oct;89(5):101293. doi: 10.1016/j.bjorl.2023.101293. Epub 2023 Jul 15.
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Success rate of sialendoscopy. A systematic review and meta-analysis.涎腺内镜检查的成功率:一项系统评价与荟萃分析
Oral Dis. 2024 May;30(4):1843-1860. doi: 10.1111/odi.14662. Epub 2023 Jul 24.
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Comparing Antegrade and Retrograde Parotidectomy: Surgical Parameters and Complications.顺行与逆行腮腺切除术的比较:手术参数与并发症
Iran J Otorhinolaryngol. 2022 Mar;34(121):83-88. doi: 10.22038/IJORL.2022.51069.2717.
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Pediatric sialendoscopy: An 11-year study from a single tertiary care center.小儿唾液腺内镜检查:来自单一三级医疗中心的11年研究。
Int J Pediatr Otorhinolaryngol. 2020 Apr;131:109869. doi: 10.1016/j.ijporl.2020.109869. Epub 2020 Jan 8.
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Sialoendoscopy: Review and Nuances of Technique.唾液腺内镜检查:技术回顾与细微差别
J Maxillofac Oral Surg. 2019 Mar;18(1):1-10. doi: 10.1007/s12663-018-1141-0. Epub 2018 Aug 14.
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Pediatric Sialendoscopy for Recurrent Salivary Gland Swelling: Workup, Findings, and Outcomes.小儿唾液腺内镜检查用于复发性唾液腺肿胀:检查、发现及结果
Ann Otol Rhinol Laryngol. 2019 Apr;128(4):338-344. doi: 10.1177/0003489418823794. Epub 2019 Jan 11.
8
Rates of sialoendoscopy and sialoadenectomy in 5,111 adults with private insurance.5111名拥有私人保险的成年人的唾液腺内镜检查和唾液腺切除术的比率。
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9
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J Oral Rehabil. 2018 Sep;45(9):730-746. doi: 10.1111/joor.12664. Epub 2018 Jun 25.
10
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