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Ultrasonography-guided sialolithotomy and stricture dilations of the major salivary glands: a preliminary study

Kaan Orhan
Kaan Orhan
, 
Poyzan Bozkurt
Poyzan Bozkurt
, 
Zeynep Serap Berktaş
Zeynep Serap Berktaş
 oraz 
Mehmet Hakan Kurt
Mehmet Hakan Kurt
   | 09 wrz 2021
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Article Category: research-article
Data publikacji: 09 wrz 2021
Zakres stron: 237 - 243
Otrzymano: 18 lis 2020
Przyjęty: 12 sty 2021
DOI: https://doi.org/10.15557/jou.2021.0038
Słowa kluczowe
© 2021 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Fig. 1.

Panoramic radiographs of two cases (sialoliths indicated with black arrows)
Panoramic radiographs of two cases (sialoliths indicated with black arrows)

Fig. 2.

Application of Introducer kit 4F and Triangular Nitinol stone retrieval device
Application of Introducer kit 4F and Triangular Nitinol stone retrieval device

Fig. 3.

USG image of retrieval basket bypassing the sialolith (black arrow indicates the sialolith, white arrow indicates the retrieval basket)
USG image of retrieval basket bypassing the sialolith (black arrow indicates the sialolith, white arrow indicates the retrieval basket)

Fig. 4.

Insertion of the guide wire under USG guidance with extraoral transducer (A), Insertion of the guide wire under USG guidance with intraoral transducer (B), advancing the retrieval basket through the submandibular duct (C), clinical appearance of retrieved sialoliths (D)
Insertion of the guide wire under USG guidance with extraoral transducer (A), Insertion of the guide wire under USG guidance with intraoral transducer (B), advancing the retrieval basket through the submandibular duct (C), clinical appearance of retrieved sialoliths (D)

Fig. 5.

USG images showing subcutaneous edema measurements
USG images showing subcutaneous edema measurements

Fig. 6.

Definition of subcutaneous echogenicity A. Grade 0, B. Grade 1, and C. Grade 2
Definition of subcutaneous echogenicity A. Grade 0, B. Grade 1, and C. Grade 2

Subcutaneous edema measurements

Edema measurement Intraoral (mm2) Extraoral (mm2)
Case 1 (Sialolithotomy)
Preoperative (I) 0.34 0.68
Postoperative 1st day (II) 0.48 1.09
Postoperative 2nd day (III) 0.28 0.81
Case 2 (Sialolithotomy)
Preoperative (I) 0.68 1.03
Postoperative 1st day (II) 0.78 1.2
Postoperative 2nd day (III) 0.69 1.07
Case 3 (Sialolithotomy)
Preoperative (I) 0.35 0.84
Postoperative 1st day (II) 0.45 1.28
Postoperative 2nd day (III) 0.36 0.98
Case 4 (Sialolithotomy)
Preoperative (I) 0.84 0.92
Postoperative 1st day (II) 1.18 1.28
Postoperative 2nd day (III) 1.05 1.05
Case 5 (Duct stricture dilation)
Preoperative (I) 0.58 0.90
Postoperative 1st day (II) 0.78 1.10
Postoperative 2nd day (III) 0.62 0.99
Case 6 (Duct stricture dilation)
Preoperative (I) 0.18 0.40
Postoperative 1st day (II) 0.38 0.60
Postoperative 2nd day (III) 0.20 0.51

Patient demographics and sialolith data

Gender Age Location Diameter
Case 1 Male 47 SGC, horizontal portion 4.6 mm
Case 2 Male 47 SGC, horizontal portion 3.46 mm
Case 3 Male 58 SGC 3.36 mm
Case 4 Female 39 SGC 4.18 mm
Case 5 Male 48 SGC Duct strictures
Case 6 Female 42 SGC Duct strictures

Subcutaneous echogenicity measurements

Subcutaneous echogenicity Grade
Patient 1 (Sialolithotomy)
Preoperative 0
Postoperative 1st day 1
Postoperative 2nd day 1
Patient 2 (Sialolithotomy)
Preoperative 0
Postoperative 1st day 1
Postoperative 2nd day 1
Patient 3 (Sialolithotomy)
Preoperative 0
Postoperative 1st day 0
Postoperative 2nd day 1
Patient 4 (Sialolithotomy)
Preoperative 1
Postoperative 1st day 1
Postoperative 2nd day 1
Patient 5 (Duct stricture dilation)
Preoperative 0
Postoperative 1st day 1
Postoperative 2nd day 1
Patient 6 (Duct stricture dilation)
Preoperative 0
Postoperative 1st day 0
Postoperative 2nd day 0

Pain scores, mouth-opening measurements, postoperative complications and patient satisfaction levels

Time Case 1 Case 2 Case 3 Case 4 Case 5 Case 6
Pain (VAS) Preoperative 5 6 4 4 3 2
6th hour 2 2 0 1 0 0
12th hour 0 1 0 0 0 0
1st day 0 0 0 0 0 0
2nd day 0 0 0 0 0 0
3rd day 0 0 0 0 0 0
Mouth opening (cm) 0 hour 4.7 4.5 5.2 4.8 5.1 4.6
1st day 4.7 4.2 5.2 4.8 5.0 4.7
2nd day 4.7 4.5 5.2 4.8 5.2 4.7
Postoperative complication 6th hour - - - - - -
12th hour - - - - - -
1st day - - - - - -
2nd day - - - - - -
3rd day - - - - - -
Other - - - - - -
Satisfaction (VAS) 0-hour (immediate postoperative) 10 8 10 10 10 10
1st day 10 10 10 10 10 10
2nd day 10 10 10 10 10 10
3rd day 10 10 10 10 10 10
eISSN:
2451-070X
Język:
Angielski
Częstotliwość wydawania:
4 razy w roku
Dziedziny czasopisma:
Medicine, Basic Medical Science, other
Kanał RSS czasopisma