구강내 접근법으로 치료한 이하선관내 다발성 타석증 1예

Abstract

Sialolithiasis is a condition characterized by the obstruction of a salivary gland or its duct due to the formation of calcareous material or sialoliths resulting in salivary ectasia and even provoking the subsequent dilation of the salivary gland or salivary duct. The most difficult cases involve sialoliths in the posterior part of the Stensen’s duct, the presence of multiple stones with stenosis of the distal part of the duct. We report on a case of Stensen’s duct abscess with multiple sialolithiasis in a 46-year-old man. The patient’s cheek was swollen, and showed no evidence of any other lesions. The patient was treated with surgical removal of stones by the intraoral approach,sialodochoplasty and antibiotics therapy. There has been no recurrence nor duct problem during the 12 months period of follow up. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:501-4