Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 12 de 12
Filtrar
1.
J Oral Maxillofac Surg ; 69(2): 476-81, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21145154

RESUMO

PURPOSE: To asses the possibility of an endoscopic technique to diagnose, treat, and maintain the salivary glands in patients with Sjögren syndrome and systemic lupus erythematosus. PATIENTS AND METHODS: A total of 8 patients with Sjögren syndrome and 2 with systemic lupus erythematosus with affected salivary glands were included in the present study. The treatment approach included parotid sialoendoscopy with thorough rinsing, and Stenson's duct dilation using hydrostatic pressure and a high-pressure balloon. Hydrocortisone 100 mg was injected through direct vision into the duct. The study was exempt by the Barzilai Medical Center review board. RESULTS: The main diagnosis of the patients was chronic recurrent parotitis, with the exception of 1 patient, who presented with salivary stones. CONCLUSIONS: The pathologic features of the salivary glands resulting from Sjögren syndrome and systemic lupus erythematosus can be managed successfully using an endoscopic approach.


Assuntos
Doenças Autoimunes/terapia , Endoscopia/métodos , Lúpus Eritematoso Sistêmico/terapia , Doenças das Glândulas Salivares/terapia , Síndrome de Sjogren/terapia , Adulto , Idoso , Anti-Inflamatórios/administração & dosagem , Anti-Inflamatórios/uso terapêutico , Doenças Autoimunes/diagnóstico , Cateterismo/instrumentação , Criança , Doença Crônica , Endoscópios/classificação , Feminino , Seguimentos , Humanos , Hidrocortisona/administração & dosagem , Hidrocortisona/uso terapêutico , Pressão Hidrostática , Lúpus Eritematoso Sistêmico/diagnóstico , Pessoa de Meia-Idade , Parotidite/diagnóstico , Parotidite/terapia , Ductos Salivares/patologia , Cálculos das Glândulas Salivares/diagnóstico , Cálculos das Glândulas Salivares/terapia , Doenças das Glândulas Salivares/diagnóstico , Sialadenite/terapia , Sialografia , Síndrome de Sjogren/diagnóstico , Doenças da Glândula Submandibular/diagnóstico , Doenças da Glândula Submandibular/terapia , Irrigação Terapêutica , Xerostomia/terapia
2.
J Oral Maxillofac Surg ; 68(2): 347-53, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20116707

RESUMO

PURPOSE: To assess a combined external lithotripsy-sialoendoscopy method developed for advanced salivary gland sialolithiasis. MATERIALS AND METHODS: A total of 94 patients (43 males and 51 females) underwent these treatment methods. Of these 94 patients, 60 had pathologic features in the submandibular gland and 34 in the parotid gland. A miniature external lithotripter was used, combined with multifunctional sialoendoscopes and endoscopic-assisted techniques, to achieve effective removal/elimination of the stones in these difficult cases. RESULTS: Total elimination of the stone using lithotripsy alone was achieved in 32% of the cases; in 29%, intraductal endoscopic assistance was needed. In the remaining 39%, the removal of a stone was achieved with the help of an endoscopy-assisted extraductal approach (37 cases). At 6 months of follow-up, all patients who had undergone lithotripsy or lithotripsy plus intraductal endoscopy had an absence of symptoms. Of the 37 patients who had undergone an endoscopy-assisted extraductal approach, 35 (95%) remained asymptomatic. CONCLUSIONS: Lithotripsy plus intraductal or extraductal endoscopic treatment of sialolithiasis is a highly effective surgical method of eliminating/removing salivary stones, especially those attached to the surrounding tissue and in the secondary ducts. This method helps to avoid resection of the salivary glands and represents an additional development of minimal invasive surgical techniques.


Assuntos
Endoscopia do Sistema Digestório , Litotripsia , Doenças Parotídeas/cirurgia , Cálculos das Glândulas Salivares/cirurgia , Doenças da Glândula Submandibular/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Recuperação de Função Fisiológica , Adulto Jovem
3.
J Oral Maxillofac Surg ; 67(1): 162-7, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19070763

RESUMO

PURPOSE: Juvenile recurrent parotitis (JRP) is characterized by intermittent swelling of one or both parotid glands simultaneously or on different occasions. The peak incidence of JRP is between the ages of 3 and 6 years, with predominance among males. The etiology and mechanism are still unknown. The diagnosis is made on a clinical basis and is confirmed by ultrasonography or sialography. Our objective was to present our long-term experience with endoscopic diagnosis and treatment of JRP. PATIENTS AND METHODS: In this clinical review we report our long-term experience in 70 children who were treated by a combined minimally invasive endoscopic method. Another 5 patients with adult-type JRP were included in the study. RESULTS: In 93% of the patients a single treatment was enough to resolve this phenomenon and prevent its recurrence. CONCLUSION: Sialoendoscopy and lavage of the parotid gland comprise the treatment of choice for JRP, achieving a high success rate with minimal morbidity.


Assuntos
Endoscopia/métodos , Parotidite/diagnóstico , Parotidite/cirurgia , Ductos Salivares/patologia , Glândulas Salivares/patologia , Adolescente , Adulto , Criança , Pré-Escolar , Doença Crônica , Estudos de Coortes , Constrição Patológica/complicações , Constrição Patológica/cirurgia , Feminino , Lateralidade Funcional , Humanos , Lactente , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Estudos Retrospectivos , Ductos Salivares/cirurgia , Glândulas Salivares/cirurgia , Prevenção Secundária , Resultado do Tratamento , Adulto Jovem
4.
Int J Oral Maxillofac Implants ; 23(3): 556-60, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18700383

RESUMO

Implant-based prosthetic restoration and oral rehabilitation is a very popular modality of treatment, with excellent success rates. Although a relatively safe procedure, implant insertion has its risks, which have been described in the literature. This article describes an as-yet unreported complication following implant insertion-salivary gland injury. The characteristics of salivary gland injury are examined, and 4 cases in which the salivary apparatus was injured or obstructed during 1 of the phases of implant therapy are presented.


Assuntos
Implantação Dentária Endóssea/efeitos adversos , Glândula Submandibular/lesões , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Rânula/etiologia , Ductos Salivares/lesões
5.
Laryngoscope ; 118(5): 763-7, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18197131

RESUMO

OBJECTIVE: The purpose of this article is to describe innovative surgical techniques for treatment of salivary gland injuries caused by facial rejuvenation procedures. METHODS: Between 2001 and 2007, a total of 14 patients, all females ages 46 to 70 who suffered from salivary gland injuries caused by facial rejuvenation procedures, were treated, primarily by an endoscopic-guided technique that involved location of the injury and endoscopic repair. RESULTS: There were four types of postsurgical injuries of the salivary glands that were caused by operations for facial rejuvenation: 1) compression of salivary ducts with temporary swelling (n = 1); 2) laceration of the capsule of the salivary gland (n = 3); 3) stretching and compression of the ducts with penetration of the capsule of the duct leading to sialocele and long-term swelling (types 1 and 2 combined) (n = 5); and 4) complete cut or penetration of the main salivary duct or of one of its main branches resulting in sialocele (n = 5). The endoscopic technique treatment was successful in all cases. CONCLUSION: The main reasons for salivary gland injuries due to facial rejuvenation procedures in our patients were: poor anatomical identification of the border between the superficial muscular aponeurotic system (SMAS) and the parotid capsule; penetration of the salivary gland capsule by blunt or sharp dissection; unnecessary use of sharp-tip scissors; and a tear of the salivary duct by hooks during a face-lift procedure. Plastic surgeons should be aware of these complications and try to improve their techniques accordingly. To avoid atrophy of the salivary gland, once the diagnosis it made, it is advisable to send the patient to a maxillofacial or ENT surgeon skilled in endoscopy.


Assuntos
Endoscopia/métodos , Complicações Pós-Operatórias , Rejuvenescimento , Ritidoplastia , Glândulas Salivares/lesões , Glândulas Salivares/cirurgia , Ferimentos e Lesões/cirurgia , Adulto , Idoso , Atrofia/etiologia , Atrofia/patologia , Atrofia/cirurgia , Competência Clínica , Feminino , Humanos , Doença Iatrogênica/prevenção & controle , Pessoa de Meia-Idade , Complicações Pós-Operatórias/classificação , Complicações Pós-Operatórias/prevenção & controle , Complicações Pós-Operatórias/cirurgia , Ritidoplastia/instrumentação , Glândulas Salivares/patologia , Ferimentos e Lesões/etiologia
6.
J Oral Maxillofac Surg ; 65(9): 1751-7, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17719393

RESUMO

PURPOSE: This article describes a new endoscopic approach for orbital floor fractures, reduction, and fixation and reports the clinical results. PATIENTS AND METHODS: Ten patients who sustained either a comminuted or trap door orbital floor fracture were treated in 2 medical centers following the same surgical protocol. The indications for orbital reconstruction were limited eye movement, diplopia, and significant enophthalmos. The new approach is discussed in detail. RESULTS: All patients healed uneventfully. No major complications were noted in the postoperative period, and good functional and esthetic results were obtained. CONCLUSIONS: Our results demonstrate that endoscopic intraoral plating is a safe and effective procedure for treating orbital floor fractures.


Assuntos
Placas Ósseas , Fraturas Cominutivas/cirurgia , Procedimentos Cirúrgicos Bucais/métodos , Fraturas Orbitárias/cirurgia , Adolescente , Adulto , Protocolos Clínicos , Endoscopia , Humanos , Masculino , Pessoa de Meia-Idade
7.
Laryngoscope ; 117(6): 1031-5, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17545866

RESUMO

OBJECTIVE: The purpose of this study was to describe an innovative surgical technique for the removal of posterior and hilar stones of the submandibular salivary duct. METHODS: Between 1999 and 2005, 172 patients who had sialolithiasis of the submandibular duct were treated primarily by transoral incision and marsupialization of the duct and salivary gland. The ductal stretching technique involved endoscopic location of the stone, incision of the oral mucosa above the duct, isolation of the duct from the surrounding tissues, stretching of the duct, ductal incision above the calculus, sialolithotomy, and insertion of a drain. RESULTS: Forty-one patients with stones located in the posterior aspect of the duct were symptom-free and stone free after the procedure. One hundred and five patients with stones located in the hilum were treated with a success rate of 98%. Twenty-six patients with multiple stones in the hilar region were treated with a success rate of 81%. The overall success rate of the procedure was 96%. In 48 patients (28%), an additional undetected stone was diagnosed by endoscopy after the removal of the stone in the hilum. In 62 patients (36%), strictures were diagnosed endoscopically posterior to the stone. Lingual nerve paresthesia occurred in one patient, who recovered completely. CONCLUSION: The ductal stretching technique is recommended as the procedure of choice in cases with posterior and hilar stones more than 5 mm in diameter to avoid surgical removal of the salivary gland.


Assuntos
Endoscopia/métodos , Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação , Cálculos dos Ductos Salivares/cirurgia , Glândula Submandibular/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Amoxicilina/uso terapêutico , Antibacterianos/uso terapêutico , Criança , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Cálculos dos Ductos Salivares/diagnóstico por imagem , Ductos Salivares , Sialografia , Glândula Submandibular/diagnóstico por imagem , Tomografia Computadorizada por Raios X
9.
Pediatrics ; 114(1): 9-12, 2004 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15231901

RESUMO

OBJECTIVE: Juvenile recurrent parotitis (JRP) is a nonobstructive, nonsuppurative parotid inflammation in young children. Causative factors, such as local autoimmune manifestation, allergy, infection, and genetic inheritance, have been suggested, but none of them has been proved to date. Until now, treatment of JRP was divided into conservative observation and antibiotic treatment, and no preventive therapy was available. METHODS: Twenty-six cases symptomatic JRP in children were diagnosed and treated with a combined endoscopic approach. Sialography and sialoendoscopy were performed bilaterally in all children. The treatment modality was composed of lavage, ductal dilation, and hydrocortisone injection. RESULTS: Sialography showed multiple sialectasis in the affected gland and in the contralateral one as well. Dilations and strictures were noticed in the main duct, and kinks could be identified in 31% of the glands. The main endoscopic finding was a white appearance of the ductal layer without the healthy blood vessel coverage. Recurrence of the symptoms occurred in only 2 (8%) children. CONCLUSIONS: The endoscopic technique provides the possibility of a correct diagnosis and treatment. In this article, we present a new treatment modality of irrigation and dilation under direct vision by endoscopically guided miniature surgical instruments.


Assuntos
Glândula Parótida/patologia , Parotidite/terapia , Adolescente , Criança , Pré-Escolar , Endoscopia , Feminino , Humanos , Masculino , Glândula Parótida/diagnóstico por imagem , Parotidite/diagnóstico , Radiografia , Ductos Salivares/patologia , Ductos Salivares/cirurgia , Prevenção Secundária , Irrigação Terapêutica , Ultrassonografia
10.
Artigo em Inglês | MEDLINE | ID: mdl-12686923

RESUMO

OBJECTIVE: We sought to assess the efficacy of sialoendoscopic mechanical retrieval techniques for the treatment of obstructive salivary gland disease. This study documents the authors' long-term experience with mechanical retrieval techniques, the long-term results of the procedures, the technical issues, the techniques that have been used, and the advantages and limitations of these modalities. STUDY DESIGN: Mechanical endoscopic techniques were used in a large referral center from 1993 to 2001 to treat 217 salivary glands for salivary gland sialolithiasis. RESULTS: We found that 189 of the 217 glands with salivary gland sialolithiasis became completely symptom- and stone-free, both endoscopically and by radiographs (overall success rate, 87%). In the submandibular gland group specifically, the success rate was higher, 89%. In the parotid group, it was 83%. Follow-up was continued for 40 months after treatment. No severe complications were noted. The endoscope used was the third-generation Sialoendoscope. CONCLUSION: The endoscopic mechanical retrieval of sialoliths is both safe and efficacious. This is an excellent method for the complete and certain removal of sialoliths, with minimal damage to the surrounding tissue.


Assuntos
Endoscópios , Endoscopia , Cálculos das Glândulas Salivares/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateterismo/instrumentação , Criança , Pré-Escolar , Endoscopia/métodos , Desenho de Equipamento , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Parotídeas/cirurgia , Cálculos dos Ductos Salivares/cirurgia , Glândula Sublingual/cirurgia , Doenças da Glândula Submandibular/cirurgia , Irrigação Terapêutica , Resultado do Tratamento
11.
Artigo em Inglês | MEDLINE | ID: mdl-12627096

RESUMO

Piercing has become so popular during the last 20 to 30 years that many physicians are now treating patients with piercings and dealing with its side effects. We present 3 cases that illustrate the complications of tongue piercing (ie, infection, bleeding, and embedded ornaments). We describe the methods for inserting the ornaments to illustrate the possible adverse effects. Treatment recommendations and their application to those 3 patients are described.


Assuntos
Técnicas Cosméticas/efeitos adversos , Corpos Estranhos/complicações , Língua/lesões , Adolescente , Adulto , Feminino , Humanos , Masculino , Hemorragia Bucal/etiologia , Infecção dos Ferimentos/etiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA