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Abstract
Background: Salivary gland sialolothiasis is a common disease in middle age and occurs mainly in glandular and
submandibular duct (80 - 85%) followed by parotid gland (5 - 10%) and 5% of sublingual gland-accessory salivary gland. The treatment of parotid gland stones still has many limitations. Endoscopic surgery with YAG Holmium laser for parotid sialolithiasis is a minimally invasive method that brings effective therapy to patients.
Methods: Descriptive study on 29 patients diagnosed with parotid salivary gland sialolithiasis based on clinical and imaging findings (ultrasound, CT Scan), which were treated at the Dental Center Hue Central Hospital from March 2022 to June 2024.
Results: The Reasons for hospitalization were swelling, pain, runny nose, and dry mouth accounting for 41.4%,
24.1%, 20.7%, and 13.8% respectively. Clinical symptoms related to meals accounted for 86.2% and 13.8% were not
related to meals. Palpable stones accounted for 19.1%. Stone detection on ultrasound: hilum gland (37.9%), parenchymal duct (27.6%), main excretory duct (20.7%), not detected (13.8%). Detection of stones on CT-Scan: Hilum gland (41.4%), main excretory duct (31%), parenchymal duct (17.2%), not detected (10.4%). Stone detection on endoscopy: Hilum gland (48.2%), main excretory duct (37.9%), minor duct (13.9%).
Conclusion: The main symptoms of parotid salivary gland sialolithiasis are swelling and pain in the parotid gland area. Endoscopy has the highest diagnostic value for detecting salivary gland stones.
Keywords: Salivary gland sialolithiasis endoscopy, YAG - Holmium laser, parotid salivary gland.
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| Published | 01-01-2025 | |
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| Issue | Vol. 16 No. 6 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.16.6.8 | |
| Keywords | Từ khóa: Nội soi sỏi tuyến nước bọt, laser YAG - Holmium, tuyến nước bọt mang tai Keywords: Salivary gland sialolithiasis endoscopy, YAG - Holmium laser, parotid salivary gland |
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