타액선 내시경술: 타액선 질환의 내시경적 진단과 치료

김대형; 고국진; 최정석; 김경태; 김영모; 김태연; 김재원

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자료유형: 학술저널

저자정보: 김대형 고국진 최정석 김경태 김영모 김태연 김재원

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제3호

발행연도: 2005.1

수록면: 373 - 379 (7page)

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Background and Objectives：Obstructive lesion of salivary glands by salivary duct calculi and stenosis is the main inflama-tory disease of major salivary glands. Recently, the sialendoscopy has been introduced for the diagnosis and intervention of tory salivary gland diseases. Subjects and Method：Diagnostic and interventional sialendoscopy were performed in 19 patients (7 parotid glands, 12 submandibular glands), who had salivary duct calculi or recurrent sialadenitis without calculi from 2003 Sep. to 2004 Jun. Diagnostic sialendoscopy was performed for obstructive lesions and evaluation of ductal status. Interventional sialendoscopy was performed for the removal of salivary duct calculi and dilatation of duct stenosis in cases with calculi and stenosis. Results：3 glands had sialadenitis with no evidence of obstruction. Only one case with salivary duct calculi was failed. The remaining 10 calculi were removed with microforceps and basket with or without laser fragmentation. The average size of sialoliths was 5.2 m and multiple stones were found in 2 cases. Five cases with stenosis of parotid and submandibular gland duct were dilated with balloon catheter or endoscopy sheath successfully. In the remaining 3 glands with no obstruction, the finding of ductal in-flamation was identified. No major complications were noted. Conclusions：Diagnostic sialendoscopy is a new and minimal allows the extraction of salivary duct calculi in most cases and the dilatation of stenotic duct. This technique might be useful in preventing open gland surgery in well indicated cases.

#내시경술·타액선·타액선관·타액선관 결석·타액선 조영술. #Endoscopy· Salivary glands· Salivary ducts· Salivary duct calculi· Sialography.

참고문헌 (12)

참고문헌 신청

/ / Anew technique for diagnosis and treatment of sialolithiasis. J OralMaxillofac Surg 1994 : 1240 ~ 2

/ / Gorriaran M. Removal of a stonein Stensen’s duct with endoscopic laser lithotripsy Report of case.J Oral Maxillofac Surg 1994 : 1329 ~ 30

/ 1997 / Three year’s experience : 912 ~ 8

/ 1998 / Ell C. Extracorporealshock wave lithotripsy of parotid stones Results of aprospective clinical trial. Ann Otol Rhinol Laryngol 1998 : 860 ~ 4

/ 1999 / Brruchin AM. Endoscopic technique for the diagnosisand treatment of obstructive salivary gland disease. J Oral MaxillofacSurg 1999 : 1394 ~ 401

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