阻塞性霰粒肿引起的复发性霰粒肿的微创明确治疗--病例报告。

IF 1.7 Q3 INFECTIOUS DISEASES GERMS Pub Date : 2023-09-30 eCollection Date: 2023-09-01 DOI:10.18683/germs.2023.1397
Iulian Filipov, Corina Marilena Cristache, Mihai Săndulescu
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引用次数: 0

摘要

简介唾液腺结石是引起唾液腺囊炎最常见的原因之一。我们报告了一例患者的病例,该患者曾多次出现颌下腺肿瘤,直到最终确定涎腺结石为潜在疾病,并通过微创方法解决了问题:一名 43 岁的男性患者在过去 3 年中反复发作了 12 次单侧颌下肿瘤。头颈部计算机断层扫描显示,沃顿氏管上有一大块结石,右侧颌骨下炎。经过非甾体抗炎治疗和抗生素治疗,在急性病程完全缓解后,我们为患者实施了霰粒肿内窥镜辅助下的霰粒肿切开术,彻底清除了结石。术后,患者于当日出院,临床症状良好,随访12个月未再复发:我们报告的病例强调了进行正确鉴别诊断和确定复发性咽鼓管炎潜在病因的重要性,以确保采取最适当的治疗方法,并在必要时采取微创手术治疗进行最终治疗。
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Minimally-invasive definitive treatment of recurrent sialadenitis due to obstructive sialolithiasis - a case report.

Introduction: Salivary gland lithiasis is one of the most frequent causes of sialadenitis. We report the case of a patient who presented multiple episodes of subangulomandibular tumefaction, until salivary lithiasis was finally identified as the underlying condition and resolved through a minimally invasive approach.

Case report: A 43-year-old male patient presented with a history of 12 episodes of recurring one-sided subangulomandibular tumefaction over the course of the past 3 years. A computed tomography of the head and neck revealed a large calculus on Wharton's duct and right lithiasic submaxillitis. Non-steroidal anti-inflammatory treatment and antibiotic treatment was administered, and after the complete resolution of the acute process, we performed a sialendoscopically-assisted sialolithotomy with complete removal of the calculus. Following the procedure, the patient was discharged on the same day, clinically well, and displayed no further recurrences over a follow-up duration of 12 months.

Conclusions: The case we have reported highlights the importance of performing a correct differential diagnosis and of determining the underlying cause of recurrent sialadenitis, in order to ensure the most adequate therapeutic and, when warranted, minimally-invasive surgical management for definitive treatment.

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来源期刊
GERMS
GERMS INFECTIOUS DISEASES-
CiteScore
2.80
自引率
5.00%
发文量
36
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