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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Sialendoscopy for Definitive Management of a Submandibular Abscess following Radiotherapy for Oropharyngeal Squamous Cell Carcinoma
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Sialendoscopy for Definitive Management of a Submandibular Abscess following Radiotherapy for Oropharyngeal Squamous Cell Carcinoma

机译:唾液综查表明对口咽鳞状细胞癌放射治疗后潜水脓肿的最终管理

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Background/Aims: Sialendoscopy has as yet been shown to be ideal for the management of sialolithiasis and chronic inflammatory diseases of the salivary gland. However, its applicability to the management of a broad range of salivary gland disease is continually growing. Methods: Here we present a case report where sialendoscopy was used to successfully manage an intraparenchymal submandibular gland abscess in a patient with oropharyngeal squamous cell carcinoma managed with primary chemoradiation. Results: The use of sialendoscopy enabled visualization of the patency of salivary ducts, drainage of abscess, and irrigation of antibiotic-impregnated fluid. In this particular patient, we were able to avoid a transcervical approach through a previously irradiated field, which would have necessitated concurrent tracheostomy and placed undue risk to surrounding neurovascular structures. Conclusion: Sialendoscopy should thus, in select patients, be considered as an initial intervention for patients with intraparenchymal salivary gland abscesses in which prior therapy creates an increased risk of complication from an open transcervical approach. (C) 2018 S. Karger AG, Basel
机译:背景/目的:唾液综查表明尚未显示出唾液腺的Sialolithiaisis和慢性炎症性疾病的理想选择。然而,其对广泛唾液腺疾病的管理的适用性不断增长。方法:在这里,我们提出了一种案例报告,其中SialEndoscopy用于成功管理患者中的患者中的患者心细胞癌癌中的患者癌症癌。结果:使用唾液镜检查使可视化唾液管道的通畅,脓肿排水和抗生素浸渍液的灌溉。在该特定患者中,我们能够通过先前辐照的田地避免转晶方法,这将需要同时的气管造口术并对周围的神经血管结构造成过度风险。结论:在选择患者中,唾液镜检查应被视为患有颅内唾液腺脓肿患者的初始干预,其中疗法患者患者从开放的跨诊断方法产生了增加的复杂风险。 (c)2018年S. Karger AG,巴塞尔

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