Azaz B, Regev E, Casap N, Chicin R
Department of Oral and Maxillofacial Surgery, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
J Oral Maxillofac Surg. 1996 Jun;54(6):685-8; discussion 689. doi: 10.1016/s0278-2391(96)90681-3.
This study reviews the results of sialolithectomy performed with the CO2 laser.
Forty-nine patients were treated under local anesthesia at initial presentation in the outpatient clinic.
All patients had immediate relief after surgery. Clinical and scintographic follow-up of up to 28 months on 27 patients showed that all but 1 were asymptomatic. The single exception required excision of the submandibular gland because of two recurrences of sialoliths in Wharton's duct. Although some glands had no function clinically and scintigraphically, they were asymptomatic and needed no further treatment.
Salivary glands that are nonfunctioning clinically and scintigraphically should only be removed when there is a recurrence of symptoms.
本研究回顾了使用二氧化碳激光进行涎石切除术的结果。
49例患者在门诊初次就诊时接受局部麻醉治疗。
所有患者术后均立即缓解。对27例患者进行了长达28个月的临床和闪烁扫描随访，结果显示除1例患者外其余均无症状。唯一的例外是一名患者，因颌下腺导管内涎石复发两次，需要切除颌下腺。尽管有些腺体在临床和闪烁扫描检查中无功能，但它们无症状，无需进一步治疗。
临床和闪烁扫描检查均无功能的唾液腺，只有在症状复发时才应予以切除。
