The Laryngoscope · 2011
Diagnosis and treatment of congenital dilatation of Stensen's duct.
СтатьяНазвание и аннотация: Перевод в очереди
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Wang Yang, Yu Guang-Yan, Huang Min-Xian, Mao Chi, Zhang Lei
Аннотация
OBJECTIVES/HYPOTHESIS: This study aimed to describe the diagnosis and management of congenital dilation of Stensen's duct (CDSD) in seven cases.
STUDY DESIGN: Retrospective study.
METHODS: We collected data including medical records, radiology, and histopathology findings and follow-up for seven patients (four males) with CDSD. The mean age was 23.9 years (range, 2-72 years).
RESULTS: The clinical features of CDSD were the primary presentation of painless swelling in the cheek without an obvious cause that was unilateral or bilateral and occurred at any age, and a swelling along Stensen's duct. In patients without a history of inflammation, aggressive massage of the swelling could produce abundant intraoral salivary flow. Parotid sialography demonstrated a dilated Stensen's duct with a smooth margin but no obvious obstruction. All seven patients underwent superficial parotidectomy including the intact Stensen's duct. No patient showed recurrent swelling after a follow-up of 6 to 65 months.
CONCLUSIONS: CDSD is an uncommon congenital disorder of the parotid gland. Management with parotidectomy is effective.
STUDY DESIGN: Retrospective study.
METHODS: We collected data including medical records, radiology, and histopathology findings and follow-up for seven patients (four males) with CDSD. The mean age was 23.9 years (range, 2-72 years).
RESULTS: The clinical features of CDSD were the primary presentation of painless swelling in the cheek without an obvious cause that was unilateral or bilateral and occurred at any age, and a swelling along Stensen's duct. In patients without a history of inflammation, aggressive massage of the swelling could produce abundant intraoral salivary flow. Parotid sialography demonstrated a dilated Stensen's duct with a smooth margin but no obvious obstruction. All seven patients underwent superficial parotidectomy including the intact Stensen's duct. No patient showed recurrent swelling after a follow-up of 6 to 65 months.
CONCLUSIONS: CDSD is an uncommon congenital disorder of the parotid gland. Management with parotidectomy is effective.