타액관 결석에서의 타액관 내시경술

김태욱; 백정환; 정한신; 손영익; 강제형

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자료유형: 학술저널

저자정보: 김태욱 백정환 정한신 손영익 강제형

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제47권 제7호

발행연도: 2004.1

수록면: 655 - 660 (6page)

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Background and Objectives：Sialendoscopy was introduced with favorable results in the management of salivary duct stones. We recently attempted this new procedure to diagnose and remove sialoliths for the first time in Korea. In this paper, we aimed to find out the clinical efficacy and limitations of sialendoscopy. Subjects and Method：Nine patients, 2 males and 7 females with the average age of 27, who consented to the trial of a new procedure were enrolled in this study beginning in April 2003. Diagnostic sialendoscopy was performed first, and then intervention was attempted after sialoliths were identified. A retrospective analysis was conducted on the characteristics of sialoliths, preoperative work-up, postoperative complications and outcomes. Results： All but one case had sialoliths in the duct of the submandibular gland. In view of diagnostic sialendoscopy, the success rate was 100%, that is, we could detect sialoliths in all cases. In interventional sialendoscopy, however, the success rate was 44% (4 of 9 cases). In 3 cases, the basket broke down or got caught with the stone. Other complications such as salivary duct perforation, bleeding and nerve injury did not occur. Conclusion：Sialendocopy is a new, less invasive procedure to visualize the entire salivary ductal system for the diagnosis of salivary duct stone. However, interventional sialendoscopy for the removal of sialolith is a delicate and technically challenging procedure, requiring strict size criteria of the sialolith and much experience of the operator.

#타액관 내시경·타액관·타액관 결석. #Endoscopes· Salivary ducts· Salivary calculi.

참고문헌 (12)

참고문헌 신청

/ 1991 / Interventional sialography:Dormia basket removalof Wharton’s duct calculus 43 : 205 ~ 206

/ 1994 / Introduction of a new diagnosticprocedure: Salivary duct endoscopy (sialendoscopy) clinical evaluationof sialendoscopy, sialography, and X-ray imaging. 2 : 294 ~ 296

/ 1994 / Salivary gland endoscopy:A newtechnique for diagnosis and treatment of sialolithiasis 52 : 1240 ~ 1242

/ 1997 / Sialoendoscopy:Three years’ experience asa diagnostic and treatment modality 55 : 912 ~ 918

/ 1999 / Endoscopic technique for the diagnosis andtreatment of obstructive salivary gland diseases 57 : 1394 ~ 1401

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