악하선문 타석의 치료:악하선관 조대술을 이용한 구강내 접근법

백정환; 정한신; 김준호; 손영익; 정규환; 이동경; 이현종

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자료유형: 학술저널

저자정보: 백정환 정한신 김준호 손영익 정규환 이동경 이현종

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제8호

발행연도: 2005.1

수록면: 1,034 - 1,038 (5page)

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연구주제

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연구배경

🔬

연구방법

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연구결과

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Background and Objectives：The excision of submandibular gland (SMG) has been commonly used for the treatment of calculi in the hilum of SMG, since intraoral removal of the hilar stone has the potential risk of lingual nerve injury and the poor surgical field. However, it would leave loss of remained gland function and external scars after the excision. Therefore, the authors modified the intraoral retrieval techniques as the marsupialization of the Whartons duct up to the calculi in the hilum. This study reports our clinical experience with the modified intraoral retrieval technique and the advantages of this modality for calculi in the hilum of SMG. Subjects and Method：SMG excision and intraoral removal with marsupialization (IRM) were used from 1994 through 2003 to treat 9 and 16 cases of calculi in the hilum of SMG, respectively. We analyzed the characteristic findings of calculi, surgical morbidities and complications by comparing two different treatment groups. Results：The mean diameter of the calculi was 6.1 mm in patients with SMG excision and 7.8 mm in patients with IRM. The success rate of extraction by IRM of calculi in the hilum were 86.7%. The surgical complications were similar in both groups. The proportion of palpable calculi were significantly increased in the IRM group (92.9% vs 22.2%). We failed to remove the stone by IRM from patients, and stones were impalpable intraorally preoperatively. Conclusion：IRM is an excellent alternative method for the removal of palpable calculi located in the hilum of SMG. Furthermore, it would preserve the salivary gland function without external scarsand with acceptable surgical complications and morbidities.

#타석·악하선·구강내 접근법. #Submandibular gland calculi·Submandibular gland·Oral surgical procedures.

참고문헌 (19)

참고문헌 신청

/ 1953 / Conservative surgery for the removalof salivary calculi 6 : 579 ~ 87

/ 1972 / Obstructive and inflammatory diseases of the major salivaryglands 33 : 2 ~ 27

/ 1979 / Sialodochotomy and sialolithectomy for acutecalculus submaxillary sialadenitis 89 : 1864 ~ 6

/ 1989 / Submandibular sialolithiasis:Transoral excision 18 : 354 ~ 6

/ 1993 / An adverse reaction following sialography 22 : 41 ~ 2

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