Interventional sialendoscopy
Interventional sialendoscopy
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DOI：
10.1097/00005537-200002010-00026
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发表时间：
2000-02-01
期刊：
影响因子：
2.6
通讯作者：
Lehmann, W
中科院分区：
文献类型：
--
作者：
Marchal, F;Becker, M;Lehmann, W
对涎石病的经典态度是抗生素和抗炎治疗，希望通过乳头自发结石表达。如果下颌下结石位于靠近沃顿管开口处，则进行乳头造袋术并取出结石。在腮腺结石的情况下，尽可能采取保守的方法，因为感染性疾病的腮腺切除术与面神经并发症的发生率较高。1，2然而，对于复发性感染和位于后方的结石，腮腺切除术是唯一的选择。由于这两种手术的发病率，外科医生，更常见的是，病人不愿意进行手术。然而，在决定性治疗之前的较长延迟导致结石增大和腺体纤维化，因此更大的手术风险。20世纪90年代初，放射科医生发表了关于远端下颌下取石的第一份报告：该手术是用钢丝网篮进行的。3，4 Sharma等人于1994年进行了第一次腮腺结石取出术。5在这两种情况下，结石都是盲取的。我们报告一种新的，微创技术的涎腺导管勘探和治疗下直接内窥镜控制。唾液腺内窥镜检查旨在观察唾液腺导管及其疾病的管腔。介入性涎腺内窥镜治疗涎腺导管疾病，主要是清除涎腺结石。
The classic attitude toward sialolithiasis is an antibiotic and anti-inflammatory treatment, hoping for a spontaneous stone expression through the papilla. In cases of submandibular stones located close to the opening of Wharton’s duct, a marsupialization of the papilla is performed and the stone removed. In cases of parotid stones, a conservative approach is adopted whenever possible, because parotidectomies for infectious conditions are associated with a higher incidence of facial nerve complications. 1, 2 Nevertheless, in case of recurrent infections, and of posteriorly located stones, parotidectomy was the only option. Because of the morbidity of both operations, the surgeon and, more often, the patients are reluctant to proceed to surgery. However, a longer delay before definitive treatment leads to stone enlargement and fibrosis of the gland and therefore greater surgical risk. The first reports of a distal submandibular stone extraction were published by radiologists in the early 1990s: the procedure was performed with a wire basket. 3, 4 The first parotid stone extraction was performed in 1994 by Sharma et al. 5 In both cases the stone was extracted blindly. We report on a new, minimally invasive technique of salivary duct exploration and treatment under direct endoscopic control. Sialendoscopy aims to visualize the lumen of the salivary ducts and their diseases. Interventional sialendoscopy aims to treat salivary ductal diseases, mainly removing salivary stones.