Nowe spojrzenie na klasyfikacje przewleklego zapalenia dużych gruczołów glinowych i algorytm postępowania
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 3
Abstract
SUMMARY Approximately 5% of patients visit the ENT doctors with major salivary gland complaints. Chronic sialadenitis is one of the major disorders that can cause salivary hypofunction and correct diagnosis and management is essential for its recovery. The classification of this pathological condition have changed in the past eight decades and nowadays was revised and modified, for new diagnostic (high resolution ultrasonography, CT and MR sialography and sonoelastography) and therapeutic methods (sialoendoscopy) were introduced. The aim of the study: was to revive the past classifications of chronic inflam-matory diseases of the major salivary glands and present the current one with implications for diagnostic and treatment schedule. Material and method: 20 patients with parotid and 44 with submandibular gland sialadenitis were treated in Otolaryngology, Head and Neck Surgery Department Poznan Medical University in the years 2007-2010. Two periods of time: 2007-8 and 2009-10 were compared, the turn point was December 2008, when sialoendoscopy was introduced. Results: 25 out of 50 patients with parotid and 73 out of 95 with subman-dibular sialadenitis suffered from lithiasis. Surgical evacuation of the stone was performed in 10 cases in 2007-08, and in 4 between 2009 and 10. In this last period 94 sialoendoskopies was performed, in this number in case 38 submandibular and 7 parotid lithiasis. Stensens duct stenosis was diagnosed in 7 and Wharton duct in 12 patients. To conclude, authors underline that the prompt diagnosis is indispensible for the proper further treatment. The recommended treatment of chronic and obstructive sialadenitis obtains the novel technique, sialoendoscopy.
Authors and Affiliations
Tomasz Koped, Małgorzata Wierzbicka, Witold Szyfter
Keywords
Related Articles
- EP ID EP52253
- DOI -
- Views 74
- Downloads 0
SPRAWOZDANIE z posiedzenia Zarządu Głównego Polskiego Towarzystwa Otorynolaryngologów, Chirurgów Głowy i Szyi
Effect of copper(II) the activity of glutathione peroxidase in patients with head and neck cancer
Introduction: Head and neck squamous cell carcinoma (HNSCC) accounts for about 6% of all malignant cancers. In the epidemiology of oral cavity neoplasm, important risk factors include: tobacco smoking, alcohol abuse, bad...
Chłonkotok szyjny — rzadkie lecz nadal niebezpieczne powikłanie chirurgii szyi
SUMMARY latrogenic damage to the thoracic duct or large blood vessels in the neck lymph nodes, the operations carried out in the lower regions of the neck, especially the left, unfortunately, it happens even in experienc...
Łagodne napadowe zawroty głowy typu dziecięcego
Objective. To relate the authors’ experience to the diagnosis and follow-up of patients with benign paroxysmal vertigo of childhood (BPV) who were followed-up at the Children’s Hospital of Bydgoszcz between 1999 and 2004...
Ocena testu skrętu szyi w badaniach obiektywnych u chorych z zawrotami głowy i/lub niedosłuchem
Wstęp: Celem pracy była ocena wartości diagnostycznej testu skrętu szyi w badaniu VNG i ultrasonografii dopplerowskiej oraz słuchowych potencjałów wywołanych z pnia mózgu u chorych z zawrotami głowy i/lub zaburzeniami sł...