반복적인 이하선 부종에서 타액선 내시경의 유용성

정기화; 조병한; 김범준; 임재열; 김영모

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자료유형: 학술저널

저자정보: 정기화 조병한 김범준 임재열 김영모

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제54권 제7호

발행연도: 2011.1

수록면: 477 - 481 (5page)

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Background and Objectives Sialendoscopy is a minimally invasive technique that can be used to explore the salivary duct system and to treat obstructive salivary disease. The aim of this study was to investigate the safety and efficacy of sialendoscopy as a diagnostic and therapeutic tool for recurrent parotid swelling. Subjects and Method We retrospectively evaluated the endoscopic findings of 41 patients who underwent diagnostic sialendoscopy between August 2003 and January 2008. Interventional sialendoscopy was performed to treat any abnormalities in the ductal system. Stones were fragmented or removed by using a basket or a grasper. Strictures were dilated and mucous plugs were removed endoscopically. Results Diagnostic sialendoscopy was successfully performed in all cases. Thirty four patients underwent interventional sialendoscopy. Among them, 8 patients (23.5%) had intraductal stones and 7 patients (87.5%) were successfully treated by endoscopic removal. Stenosis of parotid duct was observed in 26 patients (76.5%). Sixteen cases (61.5%) with stenosis were dilated with balloon catheter or endoscopy sheath successfully. Patients were closely observed during the median follow-up of 42 months (1-72 months). Symptomatic relief was achieved in 20 of 26 patients (77%) in parotid stenosis. There were no recurrences of parotid stone. Six patients (23.0%) among 26 patients with parotid ductal stenosis occasionally suffered from recurred parotid swelling. Conclusion The sialendoscopy could be recommended as a useful tool for the diagnosis and treatment of recurrent parotid swelling with a minimally invasive technique.

#Endoscopy ㆍSialolithiasis ㆍStenosis ㆍParotid gland.

참고문헌 (19)

참고문헌 신청

Becker M / 2000 / Sialolithiasis and salivary ductal stenosis:diagnostic accuracy of MR sialography with a three-dimensional extended-phase conjugate-symmetry rapid spin-ech

Chitre VV / 1997 / Recurrent parotitis / Arch Dis Child 77 (4) : 359 ~ 363

Faure F / 2007 / Pediatric salivary gland obstructive swelling:sialendoscopic approach / Laryngoscope 117 (8) : 1364 ~ 1367

Jabbour N / 2010 / Sialendoscopy in children / Int J Pediatr Otorhinolaryngol 74 (4) : 347 ~ 350

Kim JW / 2007 / Sialoendoscopic treatment for radioiodine induced sialadenitis / LARYNGOSCOPE 117 (1) : 133 ~ 136