다양한 타액선 질환에서 타액선내시경의 진단적, 중재적 유용성
Sialendoscopy as a Useful Diagnostic and Interventional Tool for the Various Salivary Gland Disease: Our Experiences
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Background and Objectives Sialendoscopy is useful for the diagnosis and treatment of ob-structive salivary gland diseases, but not yet universally employed because it requires dedicate,expensive, and fragile endoscopic equipment; moreover, the surgical technique is also delicate. Here, we describe our initial experience of sialendoscopy, as well as the learning curve, precau-tions, and drawbacks that beginners must overcome in employing sialendoscopy. Subjects and Method The medical records of 98 patients who underwent sialendoscopicprocedures at Eunpyeong St. Mary’s Hospital from May 2019 to March 2022 were retrospectivelyreviewed. The type of procedure, success rate, operation time, and complications were analyzed. Results We have performed a total of 85 sialendoscopic procedures, including 79 to treatsubmandibular sialolithiasis, two to treat submandibular ductal stenosis, two to treat parotid si-alolithiasis, and two to treat parotid ductal stenosis. Of the total of 81 patients with sialolithia-sis, 82.4% were treated by sialendoscopy only, 15.3% by hybrid procedure, and 2.3% opted topreserve the salivary gland and convert to external submandibular gland excision. Four patientswith ductal stenosis were treated via endoscopic bougination; stents were placed for 4 weekswithout any restenosis. The operation time was significantly shorter for the second half than forthe first half of the patients (58.6 min vs. 39.8 min). Longer operation time was associated withthe parotid gland diseases, larger stones (>5 mm in diameter), more proximal stones (from thesalivary gland), and multiple stones. We encountered no major surgical complications. Conclusion Sialendoscopy is useful and safe; even beginners can evaluate and manage ob-structive salivary gland diseases.
Abstract
Background and Objectives Sialendoscopy is useful for the diagnosis and treatment of ob-structive salivary gland diseases, but not yet universally employed because it requires dedicate,expensive, and fragile endoscopic equipment; moreover, the surgical technique is also delicate. Here, we describe our initial experience of sialendoscopy, as well as the learning curve, precau-tions, and drawbacks that beginners must overcome in employing sialendoscopy. Subjects and Method The medical records of 98 patients who underwent sialendoscopicprocedures at Eunpyeong St. Mary’s Hospital from May 2019 to March 2022 were retrospectivelyreviewed. The type of procedure, success rate, operation time, and complications were analyzed. Results We have performed a total of 85 sialendoscopic procedures, including 79 to treatsubmandibular sialolithiasis, two to treat submandibular ductal stenosis, two to treat parotid si-alolithiasis, and two to treat parotid ductal stenosis. Of the total of 81 patients with sialolithia-sis, 82.4% were treated by sialendoscopy only, 15.3% by hybrid procedure, and 2.3% opted topreserve the salivary gland and convert to external submandibular gland excision. Four patientswith ductal stenosis were treated via endoscopic bougination; stents were placed for 4 weekswithout any restenosis. The operation time was significantly shorter for the second half than forthe first half of the patients (58.6 min vs. 39.8 min). Longer operation time was associated withthe parotid gland diseases, larger stones (>5 mm in diameter), more proximal stones (from thesalivary gland), and multiple stones. We encountered no major surgical complications. Conclusion Sialendoscopy is useful and safe; even beginners can evaluate and manage ob-structive salivary gland diseases.
참고문헌 (17)
- Nahlieli O, "Long-term experience with endoscopic diagnosis and treatment of salivary gland inflammatory diseases", Laryngoscope, 110(6), pp.988~993 (2000)
- 최정석, "타액선 내시경술", 대한이비인후-두경부외과학회지, 54(12), pp.819~827 (2011), 대한이비인후과학회
- Marchal F, "Submandibular diagnostic and interventional sialendoscopy : New procedure for ductal disorders", Ann Otol Rhinol Laryngol, 111(1), pp.27~35 (2002)
- Marchal F, "A combined endoscopic and external approach for extraction of large stones with preservation of parotid and submandibular glands", Laryngoscope, 117(2), pp.373~377 (2007)
- 박성민, "악하선 타석증의 치료: 타액선 내시경을 이용한 구강내 접근법", 대한이비인후-두경부외과학회지, 56(4), pp.217~221 (2013), 대한이비인후과학회[DOI]
- Koch M, "Treatment of sialolithiasis: What has changed? An update of the treatment algorithms and a review of the literature", J Clin Med, 11(1), pp.231~ (2021)
- Zenk J, "Extracorporeal and intracorporeal lithotripsy of salivary gland stones : Basic investigations", Otolaryngol Clin North Am, 42(6), pp.1115~1137 (2009)
- Nahlieli O, "Endoscopic mechanical retrieval of sialoliths", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 95(4), pp.396~402 (2003)
- 김재원, "타액선 내시경술: 타액선 질환의 내시경적 진단과 치료", 대한이비인후-두경부외과학회지, 48(3), pp.373~379 (2005), 대한이비인후과학회
- Sigismund PE, "Nearly 3,000 salivary stones: Some clinical and epidemiologic aspects", Laryngoscope, 125(8), pp.1879~1882 (2015)
- Iro H, "Outcome of minimally invasive management of salivary calculi in 4,691 patients", Laryngoscope, 119(2), pp.263~268 (2009)
- Marchal F, "Interventional sialendoscopy", Laryngoscope, 110(2 Pt 1), pp.318~320 (2000)
- Luers JC, "The learning curve of sialendoscopy with modular sialendoscopes : A single surgeon’s experience", Arch Otolaryngol Head Neck Surg, 136(8), pp.762~765 (2010)
- Ardekian L, "The use of sialendoscopy for the treatment of multiple salivary gland stones", J Oral Maxillofac Surg, 72(1), pp.89~95 (2014)
- 이지수, "타석증의 발생 위치에 따른 분류: 후향적 차트 리뷰 534예", 대한이비인후-두경부외과학회지, 62(8), pp.457~461 (2019), 대한이비인후과학회
- Luers JC, "Sialoendoscopy : Prognostic factors for endoscopic removal of salivary stones", Arch Otolaryngol Head Neck Surg, 137(4), pp.325~329 (2011)
- Walvekar RR, "Sialendoscopy and associated complications : A preliminary experience", Laryngoscope, 118(5), pp.776~779 (2008)