근위부 악하선 타석 제거수술 결과의 전향적 비교: 설하선 보존 경구강 타석 제거술, 설하선 절제 경구강 타석 제거술, 악하선 제거술

김건우; 성재문; 정휘경; 김재순; 박민우; 권기환

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자료유형: 학술저널

저자정보: 김건우 (한림대학교 의과대학 강동성심병원 이비인후과학교실) 성재문 (한림대학교 의과대학 강동성심병원 이비인후과학교실) 정휘경 (한림대학교 의과대학 강동성심병원 이비인후과학교실) 김재순 (한림대학교 의과대학 강동성심병원 이비인후과학교실) 박민우 (한림대학교 의과대학 강동성심병원 이비인후과학교실) 권기환 (강동경희대학교병원)

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후-두경부외과학회지 제64권 제2호

발행연도: 2021.1

수록면: 93 - 97 (5page)

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Background and Objectives Proximal submandibular stone is not a rare disease. The aimof this study is to evaluate the surgical outcomes of 3 different ways to treat proximal submandibularstone: intraoral removal of stone (IORS) with sublingual gland (SLG) resection, IORSwithout SLG resection and submandibular gland (SMG) resection. Subjects and Method We prospectively reviewed the surgical outcomes of IORS with SLGresection group (22 patients), IORS without SLG resection group (35 patients) and SMG resectiongroup (22 patients). To evaluate the surgical outcomes, we analyzed the location and size ofstones, mean operation time, mean hospital stay, mean postoperative degree of pain based ona visual analog scale (0?10), and incidence of complications. Results There were no significant differences between the mean diameter of stones and lengthfrom the hilum to stones. The mean operation time was shorter in the IORS without SLG resectiongroup than that in IORS without SLG resection group, and was significantly shorter thanthat of the SMG resection group. The mean hospital stay of the IORS without SLG resectiongroup was also shorter than that of IORS with SLG resection group, and was significantly shorterthan the SMG resection group. IORS without SLG resection group felt less pain than IORSwith SLG resection group and SMG resection group. Four patients who underwent IORS withoutSLG resection experienced transient and mild SMG swelling, and mild paresthesia wasnoted on the same side. All patients recovered within 3 months. Intraoral removal of proximalSMG stones exhibited several advantages over SMG resection in terms of hospital stay, meanoperation, time and postoperative pain. Conclusion Based on our results, we suggest that IORS without SLG resection be selected asthe primary procedure for the removal of proximal submandibular stones rather than SMG resection.

#Salivary gland calculi #Sublingual gland #Submandibular gland.

참고문헌 (17)

참고문헌 신청

Harrison JD / 2009 / Causes, natural history, and incidence of salivary stones and obstructions / Otolaryngol Clin North Am 42(6):927~947

Rauch S / 1965 / Diseases of the salivary glands / Wien Med Wochenschr 115:261~265

Bodner L / 1993 / Salivary gland calculi : Diagnostic imaging and surgical management / Compendium 14(5):572

이동현 / 2016 / 생선 이물에 의한 타석증 1예 / 대한이비인후-두경부외과학회지 59(2):162~164

Koch M / 2012 / Diagnosis and gland-preserving minimally invasive therapy for Wharton’s duct stenoses / Laryngoscope 122(3):552~558

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