顎下腺唾石手術の検討

書誌事項

タイトル別名
  • Clinical study of submandibular sialolithiasis
公開日
2005
DOI
  • 10.14821/stomatopharyngology1989.17.297
公開者
日本口腔・咽頭科学会

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説明

We studied 38 cases of submandibular sialolithiasis who underwent operations in the Department of Otorhinolaryngology, Head and Neck Surgery, Kitano Hospital, Japan between May 1994 and May 2004. CT scan was thought to be most suitable for preoperative examination. All 7 patients with distal stone location, 22 of 23 patients with stones of the perihilar region, and 1 of 8 patients with stones of parenchyma were free of stones by transoral removal of stones under general anesthesia. When the stone could not be palpated bimanually, submandibulectomy had to be carried out for the treatment, but in all cases that stones could be palpated bimanually, transoral removals were successful wherever the stones were. When we perform transoral removals, we don't suture the Wharton' s duct and mucosa of the oral floor, but in 30 cases of our transoral removals, plunging ranula was found in only one case, and recurrence of lithiasis and damage to the lingual nerve could not be found. Transoral removal should be the treatment of choice in patients with submandibular stones that can be palpated bimanually.

収録刊行物

  • 口腔・咽頭科

    口腔・咽頭科 17 (3), 297-302, 2005

    日本口腔・咽頭科学会

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