Therapeutic effect of intraductal irrigation of the salivary gland: A technical report
이채나, 김조은, Huh Kyoung-Hoe, 이원진, 허민석, 이삼선, 최순철,
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이채나 ( Lee Che-Na ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Radiology
김조은 ( Kim Jo-Eun ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
( Huh Kyoung-Hoe ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
이원진 ( Yi Won-Jin ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
허민석 ( Heo Min-Suk ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
이삼선 ( Lee Sam-Sun ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
최순철 ( Choi Soon-Chul ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Radiology
Abstract
Purpose: Obstructive and inflammatory disease often occurs in the major salivary glands, and no predictive treatment has yet been developed for this condition. The aim of this report was to introduce an intraductal irrigation procedure and to illustrate its application to practical patient cases.
Materials and Methods: Two patients complaining of pain and swelling in the parotid gland during meals who underwent sialography were diagnosed as having sialodochitis with sialadenitis. Intraductal irrigation was then performed on the parotid gland on the side of the complaint. The irrigation procedure was conducted in the same manner as the sialography procedure, except that saline was used as the filling solution. Symptom severity was evaluated with a numerical rating scale (NRS) at the initial visit and a month after the irrigation.
Results: The initial NRS value of patient 1 was 10. The value decreased to 6 and then to 0 after 2 irrigation procedures. The NRS value of patient 2 regarding the symptoms involving the left parotid gland decreased from 4-5 to 1 after 4 irrigation procedures performed at 1-month intervals.
Conclusion: Intraductal irrigation of the salivary gland may be a simple, safe, and effective treatment option for patients with obstructive and inflammatory disease of the salivary gland that is capable of resolving their symptoms.
키워드
Parotid Gland; Salivary Gland; Sialadenitis; Sialodochitis; Therapeutic Irrigation
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