下下腺管道的异常扩张
N Graillon1, P Marty2, J-M Foletti1
1Department of Oral and Maxillofacial Surgery, APHM, Conception University Hospital, Marseille, France; Laboratoire de Bioméchanique Appliquée (LBA), Gustave Eiffel University/Aix-Marseille University, Marseille, France.
International journal of oral and maxillofacial surgery
|October 16, 2023
概括
这项研究确定了异常性下管扩张,称为下大管,与阻塞无关. 这些罕见的疾病呈现出胀和不适,在治疗后经常复发.
科学领域:
- 唾液腺成像和诊断 唾液腺成像和诊断
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医学成像医学成像
背景情况:
- 唾液管扩张通常是由像石头 (石质病) 或狭窄 (缩小) 这样的障碍引起的,导致压力增加.
- 异常扩张,称为大气管,已被专门记录在腺,没有高压.
- 与常见原因无关的下下管扩张以前没有被描述.
研究的目的:
- 描述下下管扩张的特征,不与,狭窄或无孔管有关.
- 报告异常性下大导管的存在和临床特征.
- 为了区分这些异常扩张与压力诱导的导管变化.
主要方法:
- 在La Conception大学医院 (2007-2019) 进行了一项回顾性单中心研究.
- 纳入标准:下下管扩张 (≥4毫米) 通过磁共振成像阴影学 (阴影-MRI) 和阴影内镜证实.
- 排除标准:,狭窄,不穿孔的口腔,有创伤史或口腔底部手术.
主要成果:
- 确定了五名患者 (三名女性,两名男性;年龄在30-76岁之间) 在九个腺体中患有异常性下管扩张.
- 常见的症状包括下下胀,和不适,经常发生在饭外.
- 经常观察到治疗后症状的复发.
结论:
- 这项研究证实了异常性下大管的存在,与与压力相关的扩张不同.
- 罗MRI和罗内镜在诊断和表征这些疾病方面是有效的.
- 下大带有独特的症状和复发倾向,需要进一步调查.
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