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        • Universidad Jorge Tadeo Lozano (Colombia)
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        • Universidad Jorge Tadeo Lozano (Colombia)
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        A gland-sparing, intraoral sialolithotomy approach for hilar and intraparenchymal multiple stones in the submandibular gland

        Registro en:
        https://doi.org/10.1038/s41598-020-65519-7
        http://hdl.handle.net/20.500.12010/10721
        https://doi.org/10.1038/s41598-020-65519-7
        http://repositorioslatinoamericanos.uchile.cl/handle/2250/3508590
        Autor
        Shi, Huan
        Zhao, Jun
        Hze-Khoong, Eugene Poh
        Liu, Shixin
        Yin, Xuelai
        Hu, Yongjie
        Institución
        • Universidad Jorge Tadeo Lozano (Colombia)
        Resumen
        Multiple intraglandular sialolithiasis for stones deep in the glandular parenchyma may require submandibulectomies, especially if sialendoscopic facilities are unavailable. We describe a glandsparing intraoral sialolithotomy approach for both hilar and intraparenchymal multiple sialoliths. Nine patients with obstructive sialadenitis resulting from multiple sialoliths in both the deep hilar region and the submandibular gland parenchyma were selected for this study. Ultrasonography and computer tomography (CT) scans were performed to determine the location, number and sizes of the calculi and the distance between hilar and intraparenchymal sialoliths. All sialoliths were removed via glandsparing, intraoral sialolithotomy. In all, 27 stones were found in the 9 patients. The hilar and deeper sialoliths were 4.5–11 and 0.8–4.5mm, respectively, in diameter. The largest distance between the hilar and intraparenchymal sialoliths was 28.3mm. Sialoliths in the hilar region were excised through an intraoral incision before deeper intraparenchymal stones were eased out of the same incision site. Postoperative follow-up imaging verifed complete sialolith removal. Therefore, submandibular gland multiple sialoliths in the hilum and parenchyma can be successfully removed via an intraoral sialolithotomy under general anesthesia, thereby preserving the gland and restoring its secretory function.
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        Red de Repositorios Latinoamericanos
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        Red de Repositorios Latinoamericanos
        + de 8.000.000 publicaciones disponibles
        500 instituciones participantes
        Dirección de Servicios de Información y Bibliotecas (SISIB)
        Universidad de Chile
        Ingreso Administradores
        Colecciones destacadas
        • Tesis latinoamericanas
        • Tesis argentinas
        • Tesis chilenas
        • Tesis peruanas
        Nuevas incorporaciones
        • Argentina
        • Brasil
        • Colombia
        • México
        Dirección de Servicios de Información y Bibliotecas (SISIB)
        Universidad de Chile
        Red de Repositorios Latinoamericanos | 2006-2018