Sialendoscopy for sialodocholithiasis following submandibular gland excision:six variations on a theme  

作　　者：Jennifer E.Douglas W.Walsh Thomas Christopher Z.Wen Laurie A.Loevner Erica R.Thaler Ara A.Chalian Christopher H.Rassekh 

机构地区：[1]Department of OtorhinolaryngologyeHead&Neck Surgery,University of Pennsylvania Health System,5th Floor Silverstein Building,3400 Spruce Street,Philadelphia,PA,19104,USA [2]BaptistHealthMD Anderson CancerCenter,BaptistHealth,1301 Palm Avenue,Jacksonville,FL,32207,USA [3]Perelman School of Medicine at the University of Pennsylvania,3400 Civic Center Boulevard,Philadelphia,PA,19104,USA [4]Department of Radiology,Division of Neuroradiology,University of Pennsylvania Health System,3400 Spruce Street,Ground Floor Founders Pavilion,Philadelphia,PA,19104,USA

出　　处：《World Journal of Otorhinolaryngology-Head and Neck Surgery》2021年第4期291-295,共5页世界耳鼻咽喉头颈外科杂志（英文）

摘　　要：Sialendoscopy is a minimally invasive technique that facilitates the diagnosis and treatment of sialolithiasis.This case series presents the novel use of sialendoscopy to treat sialodocholithiasis in six patients with a non-functional or surgically absent submandibular gland by a single surgeon at the University of Pennsylvania Health System between March 2013 and December 2019.The four female and two male patients had a median age of 56 years and mean follow-up of 16.2 months(range 1-44.5).All stones were successfully removed using sialendoscopy,and in 5 patients a combined approach was utilized.All patients remain asymptomatic at last clinical follow-up.We conclude that sialendoscopy is a viable,minimally invasive method for managing sialodocholithiasis in patients with prior submandibular gland excision or atretic gland.It is also useful as an assistive tool when approaching complex transcervical or transoral procedures in previously instrumented patients.

关 键 词：SIALENDOSCOPY Sialodocholithiasis SIALOLITHIASIS Salivary gland disease Recurrent or retained sialolith 

分 类 号：R782.7[医药卫生—口腔医学] R781.7[医药卫生—临床医学]