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dc.creatorShi, Huan
dc.creatorZhao, Jun
dc.creatorHze-Khoong, Eugene Poh
dc.creatorLiu, Shixin
dc.creatorYin, Xuelai
dc.creatorHu, Yongjie
dc.date.accessioned2020-07-17T14:33:35Z
dc.date.available2020-07-17T14:33:35Z
dc.date.created2020
dc.identifier.otherhttps://doi.org/10.1038/s41598-020-65519-7spa
dc.identifier.urihttp://hdl.handle.net/20.500.12010/10721
dc.description.abstractMultiple intraglandular sialolithiasis for stones deep in the glandular parenchyma may require submandibulectomies, especially if sialendoscopic facilities are unavailable. We describe a glandsparing intraoral sialolithotomy approach for both hilar and intraparenchymal multiple sialoliths. Nine patients with obstructive sialadenitis resulting from multiple sialoliths in both the deep hilar region and the submandibular gland parenchyma were selected for this study. Ultrasonography and computer tomography (CT) scans were performed to determine the location, number and sizes of the calculi and the distance between hilar and intraparenchymal sialoliths. All sialoliths were removed via glandsparing, intraoral sialolithotomy. In all, 27 stones were found in the 9 patients. The hilar and deeper sialoliths were 4.5–11 and 0.8–4.5mm, respectively, in diameter. The largest distance between the hilar and intraparenchymal sialoliths was 28.3mm. Sialoliths in the hilar region were excised through an intraoral incision before deeper intraparenchymal stones were eased out of the same incision site. Postoperative follow-up imaging verifed complete sialolith removal. Therefore, submandibular gland multiple sialoliths in the hilum and parenchyma can be successfully removed via an intraoral sialolithotomy under general anesthesia, thereby preserving the gland and restoring its secretory function.spa
dc.format.extent7 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.publisherScience Directeng
dc.sourcereponame:Expeditio Repositorio Institucional UJTLspa
dc.sourceinstname:Universidad de Bogotá Jorge Tadeo Lozanospa
dc.subjectCOVID-19spa
dc.titleA gland-sparing, intraoral sialolithotomy approach for hilar and intraparenchymal multiple stones in the submandibular glandspa
dc.type.localArtículospa
dc.subject.lembSíndrome respiratorio agudo gravespa
dc.subject.lembCOVID-19spa
dc.subject.lembSARS-CoV-2spa
dc.subject.lembCoronavirusspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.identifier.doihttps://doi.org/10.1038/s41598-020-65519-7spa


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