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메가덕트를 동반한 이하선 협착증 치료를 위한 침샘내시경술 이용 경구강 도관성형술 1예

Transoral Sialodochoplasty Assisted With Sialendoscopy for the Treatment of Parotid Duct Stenosis With a Megaduct: Case Report

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주제분류이비인후과학

초록

Salivary megaduct with stricture is characterized by recurrent pain, cheek and parotid swell-ing. We report on a case of circular web type fibrotic stenosis accompanying a large megaductfound by sialendoscopy. Although, sialendoscopy enabled minimally invasive diagnosis andtreatment of stenotic lesion of the Stensen’s duct, bougination is not effective for severe fibrot-ic stenosis. Transoral sialodochoplasty assisted with sialendoscopy can be an additional treat-ment option for the parotid duct stenosis with a memegaduct. Sialendoscopy assisted stent in-sertion can be helpful to prevent the scaring of neo opening and recurrence.

Abstract

Salivary megaduct with stricture is characterized by recurrent pain, cheek and parotid swell-ing. We report on a case of circular web type fibrotic stenosis accompanying a large megaductfound by sialendoscopy. Although, sialendoscopy enabled minimally invasive diagnosis andtreatment of stenotic lesion of the Stensen’s duct, bougination is not effective for severe fibrot-ic stenosis. Transoral sialodochoplasty assisted with sialendoscopy can be an additional treat-ment option for the parotid duct stenosis with a memegaduct. Sialendoscopy assisted stent in-sertion can be helpful to prevent the scaring of neo opening and recurrence.

참고문헌 (10)

  1. Maresh A, "Sialoendoscopy in the diagnosis and management of obstructive sialadenitis", Laryngoscope, 121(3), pp.495~500 (2011)
  2. Koch M, "Role of sialoscopy in the treatment of Stensen’s duct strictures", Ann Otol Rhinol Laryngol, 117(4), pp.271~278 (2008)
  3. Koch M, "Salivary duct stenosis : Diagnosis and treatment", Acta Otorhinolaryngol Ital, 37(2), pp.132~141 (2017)
  4. Bernstein JD, "Steroid-eluting stent placement for refractory stenosis of parotid megaduct after sialodochoplasty", Ear Nose Throat J (2022)
  5. Plonowska KA, "One-year outcomes of sialendoscopic-assisted salivary duct surgery for sialadenitis without sialolithiasis", Laryngoscope, 129(4), pp.890~896 (2019)
  6. Koch M, "Extended and treatment-oriented classification of parotid duct stenosis", Laryngoscope, 127(2), pp.366~371 (2017)
  7. 신근철, "Sialendoscopy Combined With Transoral Sialodochoplasty for the Treatment of Parotid Duct Stenosis With a Megaduct", Clinical and Experimental Otorhinolaryngology, 14(4), pp.431~434 (2021), 대한이비인후과학회[DOI]
  8. 김기식, "이하선관의 Sialectasis 1예", 대한이비인후-두경부외과학회지, 52(10), pp.842~844 (2009), 대한이비인후과학회
  9. Baurmash HD, "Sialectasis of Stensen’s duct with an extraoral swelling : A case report with surgical management", J Oral Maxillofac Surg, 65(1), pp.140~143 (2007)
  10. Kim TH, "Development of a 3D-printed drug-eluting stent for treating obstructive salivary gland disease", ACS Biomater Sci Eng, 5(7), pp.3572~3581 (2019)

관련 논문AI추천

타액선 내시경과 외부접근법으로 치료한 이하선관타석증 치료 1예김성원, 박효상, 이강대, 최윤정대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2011 · 제22권 제2호다양한 타액선 질환에서 타액선내시경의 진단적, 중재적 유용성김병국, 김수빈, 김승화, 김지선, 박수민, 박준욱, 이동현, 장기홍대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2023 · 제66권 제3호타액선 내시경을 이용한 수술적 접근법을 통한 이하선 타석증 치료 결과박영민, 박주하, 임재열, 전유태, 최지훈대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2022 · 제65권 제5호Sialendoscopy Combined With Transoral Sialodochoplasty for the Treatment of Parotid Duct Stenosis With a Megaduct강민석, 김정기, 신근철, 안성준, 이승진, 임재열대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2021 · 제14권 제4호타액선관 내시경술 후 발생한 의인성 이하선 타액류의 경구배액술 1예김성원, 송준웅, 이강대, 이형신대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2015 · 제58권 제8호만성 이하선 타액선염 환자에서 타액관 스테로이드 세척술의 유용성김영준, 이강대, 이형신, 최동규대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2023 · 제66권 제9호

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