Endoscopic treatment of chronic obstructive parotitis
10.3760/cma.j.issn.1002-0098.2012.s1.018
- VernacularTitle:43例慢性阻塞性腮腺炎内镜治疗疗效观察
- Author:
Deng-Gao LIU
1
;
Yu-Jiao GUO
;
Lan JIANG
;
Xiao-Yan XIE
;
Zu-Yan ZHANG
;
Guang-Yan YU
Author Information
1. 100081,北京大学口腔医学院·口腔医院口腔颌面放射科
- Keywords:
Parotid diseases;
Natural orifice endoscopic surgery;
Chronic obstructive parotitis
- From:
Chinese Journal of Stomatology
2012;47(z1):81-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective To elaborate on the classification of chronic obstructive parotitis (COP) based upon endoscopic and sialographic appearances,and to evaluate the results of endoscopic intervention.Methods Forty-three patients with COP underwent endoscopic exploration and intervention procedures.They included 21 patients with bilateral COP and 22 patients with monolateral COP.The images of sialogaphy and endoscopy were analyzed and classified.The treatment options included saline irrigation,mechanical dilatation and balloon dilatation.All patients were followed up periodically after treatment.Results COP can be classified as:① mild lesion:the main duct has stenosis and ectasia,whereas the 1.1 mm endoscope can pass through easily ; ② moderate lesion:the main duct has one point of severe stricture which can not be passed by the 1.1 mm endoscope; ③ severe lesion:the main duct has two points of severe strictures or diffused strictures.The duration of follow-up ranged from 3 to 17 months.One patient with bilateral COP was lost of follow-up.The clinical results included good in 33 glands,fair in 18 glands and poor in 11 glands,with a total effective rate of 82％ (51/62).Conclusions Endoscopic procedure is valuable for the diagnosis and treatment of COP.
