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Interventional Sialoendoscopy for Treatment of Obstructive Sialadenitis

Title
Interventional Sialoendoscopy for Treatment of Obstructive Sialadenitis
Author
황경균
Keywords
CHRONIC RECURRENT PAROTITIS; SHOCK-WAVE LITHOTRIPSY; SALIVARY-GLAND STONES; MANAGEMENT; CALCULI; SIALOLITHIASIS; DIAGNOSIS; SIALENDOSCOPY; STRICTURES; ENDOSCOPY
Issue Date
2014-11
Publisher
W B SAUNDERS CO-ELSEVIER INC
Citation
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 72권, 11호, 2157-2166
Abstract
Purpose: This follow-up study documents the overall success rate of interventional sialoendoscopy; it is a novel, less invasive treatment for obstructive sialadenitis. Patients and Methods: This was a retrospective follow-up study of 189 patients who underwent a sialoendoscopic procedure at Massachusetts General Hospital from 2004 through 2013. Included were patients who underwent sialoendoscopic treatment for symptoms and clinical findings consistent with obstructive sialadenitis. Four different interventional sialoendoscopic techniques were used: dilation of stricture and irrigation, stone retrieval by basket, stone fragmentation with lithotripsy or laser, and stone removal by endoscopic-assisted "cutdown" operation using the "modified McGurk" technique. The outcome assessed was whether the patient was asymptomatic at 6 months postoperatively. Results: Interventional endoscopic navigation was accomplished in 164 of 189 patients (87%). In 17 cases, the duct orifice was inaccessible owing to scarring, so the duct could not be navigated. Symptomatic relief was achieved in 148 of 164 patients (90%). Dilatation and lavage for sialadenitis without a stone was accomplished in 52 of 189 patients (28%). Sialoliths were retrieved or fragmented in 137 of 164 cases (84%). Conclusion: The results of this study show a high success rate in the treatment of obstructive sialadenitis using interventional sialoendoscopy. (C) 2014 American Association of Oral and Maxillofacial Surgeons
URI
http://www.joms.org/article/S0278-2391(14)01074-X/fulltexthttp://hdl.handle.net/20.500.11754/49028
ISBN
1531-5053
ISSN
0278-2391
DOI
10.1016/j.joms.2014.06.438
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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