근위부 악하선 타석 제거수술 결과의 전향적 비교: 설하선 보존 경구강 타석 제거술, 설하선 절제 경구강 타석 제거술, 악하선 제거술
Clinical Comparison of Transoral Removal with Sublingual Gland Preservation versus without Sublingual Gland Preservation versus Submandibular Gland Resection for Proximal Duct Stone of Submandibular Gland: Prospective Study
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Background and Objectives Proximal submandibular stone is not a rare disease. The aimof this study is to evaluate the surgical outcomes of 3 different ways to treat proximal submandibularstone: intraoral removal of stone (IORS) with sublingual gland (SLG) resection, IORSwithout SLG resection and submandibular gland (SMG) resection. Subjects and Method We prospectively reviewed the surgical outcomes of IORS with SLGresection group (22 patients), IORS without SLG resection group (35 patients) and SMG resectiongroup (22 patients). To evaluate the surgical outcomes, we analyzed the location and size ofstones, mean operation time, mean hospital stay, mean postoperative degree of pain based ona visual analog scale (0–10), and incidence of complications. Results There were no significant differences between the mean diameter of stones and lengthfrom the hilum to stones. The mean operation time was shorter in the IORS without SLG resectiongroup than that in IORS without SLG resection group, and was significantly shorter thanthat of the SMG resection group. The mean hospital stay of the IORS without SLG resectiongroup was also shorter than that of IORS with SLG resection group, and was significantly shorterthan the SMG resection group. IORS without SLG resection group felt less pain than IORSwith SLG resection group and SMG resection group. Four patients who underwent IORS withoutSLG resection experienced transient and mild SMG swelling, and mild paresthesia wasnoted on the same side. All patients recovered within 3 months. Intraoral removal of proximalSMG stones exhibited several advantages over SMG resection in terms of hospital stay, meanoperation, time and postoperative pain. Conclusion Based on our results, we suggest that IORS without SLG resection be selected asthe primary procedure for the removal of proximal submandibular stones rather than SMG resection.
Abstract
Background and Objectives Proximal submandibular stone is not a rare disease. The aimof this study is to evaluate the surgical outcomes of 3 different ways to treat proximal submandibularstone: intraoral removal of stone (IORS) with sublingual gland (SLG) resection, IORSwithout SLG resection and submandibular gland (SMG) resection. Subjects and Method We prospectively reviewed the surgical outcomes of IORS with SLGresection group (22 patients), IORS without SLG resection group (35 patients) and SMG resectiongroup (22 patients). To evaluate the surgical outcomes, we analyzed the location and size ofstones, mean operation time, mean hospital stay, mean postoperative degree of pain based ona visual analog scale (0–10), and incidence of complications. Results There were no significant differences between the mean diameter of stones and lengthfrom the hilum to stones. The mean operation time was shorter in the IORS without SLG resectiongroup than that in IORS without SLG resection group, and was significantly shorter thanthat of the SMG resection group. The mean hospital stay of the IORS without SLG resectiongroup was also shorter than that of IORS with SLG resection group, and was significantly shorterthan the SMG resection group. IORS without SLG resection group felt less pain than IORSwith SLG resection group and SMG resection group. Four patients who underwent IORS withoutSLG resection experienced transient and mild SMG swelling, and mild paresthesia wasnoted on the same side. All patients recovered within 3 months. Intraoral removal of proximalSMG stones exhibited several advantages over SMG resection in terms of hospital stay, meanoperation, time and postoperative pain. Conclusion Based on our results, we suggest that IORS without SLG resection be selected asthe primary procedure for the removal of proximal submandibular stones rather than SMG resection.
참고문헌 (17)
- Harrison JD, "Causes, natural history, and incidence of salivary stones and obstructions", Otolaryngol Clin North Am, 42(6), pp.927~947 (2009)
- Rauch S, "Diseases of the salivary glands", Wien Med Wochenschr, 115, pp.261~265 (1965)
- Bodner L, "Salivary gland calculi : Diagnostic imaging and surgical management", Compendium, 14(5), pp.572~ (1993)
- 이동현, "생선 이물에 의한 타석증 1예", 대한이비인후-두경부외과학회지, 59(2), pp.162~164 (2016), 대한이비인후과학회[DOI]
- Koch M, "Diagnosis and gland-preserving minimally invasive therapy for Wharton’s duct stenoses", Laryngoscope, 122(3), pp.552~558 (2012)
- McGurk M, "Modern management of salivary calculi", Br J Surg, 92(1), pp.107~112 (2005)
- van den Akker HP, "Submandibular gland function following transoral sialolithectomy", Oral Surg Oral Med Oral Pathol, 56(4), pp.351~356 (1983)
- McGurk M, "Intra-oral removal of stones from the hilum of the submandibular gland : Report of technique and morbidity", Int J Oral Maxillofac Surg, 33(7), pp.683~686 (2004)
- Eun YG, "Advantages of intraoral removal over submandibular gland resection for proximal submandibular stones : A prospective randomized study", Laryngoscope, 120(11), pp.2189~2192 (2010)
- Zenk J, "Extracorporeal shock wave lithotripsy of submandibular stones : Evaluation after 10 years", Ann Otol Rhinol Laryngol, 113(5), pp.378~383 (2004)
- Nahlieli O, "Long-term experience with endoscopic diagnosis and treatment of salivary gland inflammatory diseases", Laryngoscope, 110(6), pp.988~993 (2000)
- Marchal F, "Specificity of parotid sialendoscopy", Laryngoscope, 111(2), pp.264~271 (2001)
- Ottaviani F, "Extracorporeal electromagnetic shock-wave lithotripsy for salivary gland stones", Laryngoscope, 106(6), pp.761~764 (1996)
- Drage NA, "Interventional radiology in the removal of salivary calculi", Radiology, 214(1), pp.139~142 (2000)
- 박성민, "악하선 타석증의 치료: 타액선 내시경을 이용한 구강내 접근법", 대한이비인후-두경부외과학회지, 56(4), pp.217~221 (2013), 대한이비인후과학회[DOI]
- Capaccio P, "Conservative transoral removal of hilar submandibular salivary calculi", Laryngoscope, 115(4), pp.750~752 (2005)
- Roh JL, "Transoral removal of submandibular hilar stone and sialodochoplasty", Otolaryngol Head Neck Surg, 139(2), pp.235~239 (2008)