다양한 타액선 질환에서 타액선내시경의 진단적, 중재적 유용성

박수민; 박준욱; 이동현; 김승화; 김수빈; 김지선; 김병국; 장기홍

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자료유형: 학술저널

저자정보: 박수민 (가톨릭대학교 의과대학 이비인후과학교실) 박준욱 (가톨릭대학교 의과대학 이비인후과학교실) 이동현 (가톨릭대학교 의과대학 이비인후과학교실) 김승화 (가톨릭대학교 의과대학 이비인후과학교실) 김수빈 (가톨릭대학교 의과대학 이비인후과학교실) 김지선 (가톨릭대학교 의과대학 이비인후과학교실) 김병국 (가톨릭대학교 의과대학 이비인후과학교실) 장기홍 (가톨릭대학교 의과대학 이비인후과학교실)

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후-두경부외과학회지 제66권 제3호

발행연도: 2023.3

수록면: 175 - 182 (8page)

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Background and Objectives Sialendoscopy is useful for the diagnosis and treatment of ob-structive salivary gland diseases, but not yet universally employed because it requires dedicate,expensive, and fragile endoscopic equipment; moreover, the surgical technique is also delicate. Here, we describe our initial experience of sialendoscopy, as well as the learning curve, precau-tions, and drawbacks that beginners must overcome in employing sialendoscopy. Subjects and Method The medical records of 98 patients who underwent sialendoscopicprocedures at Eunpyeong St. Mary’s Hospital from May 2019 to March 2022 were retrospectivelyreviewed. The type of procedure, success rate, operation time, and complications were analyzed. Results We have performed a total of 85 sialendoscopic procedures, including 79 to treatsubmandibular sialolithiasis, two to treat submandibular ductal stenosis, two to treat parotid si-alolithiasis, and two to treat parotid ductal stenosis. Of the total of 81 patients with sialolithia-sis, 82.4% were treated by sialendoscopy only, 15.3% by hybrid procedure, and 2.3% opted topreserve the salivary gland and convert to external submandibular gland excision. Four patientswith ductal stenosis were treated via endoscopic bougination; stents were placed for 4 weekswithout any restenosis. The operation time was significantly shorter for the second half than forthe first half of the patients (58.6 min vs. 39.8 min). Longer operation time was associated withthe parotid gland diseases, larger stones (>5 mm in diameter), more proximal stones (from thesalivary gland), and multiple stones. We encountered no major surgical complications. Conclusion Sialendoscopy is useful and safe; even beginners can evaluate and manage ob-structive salivary gland diseases.

#Endoscopy #Salivary duct #Salivary gland #Sialolithiasis.

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박수민

소속기관 Department of Otolaryngology-Head and Neck Surgery Eunpyeong St. Mary’s Hospital College of Medicine The Catholic University of Korea