Imperforate submandibular duct in an infant

Author(s):  
Amit Gupta ◽  
Abhinav Bansal ◽  
Ajay Verma ◽  
Priyanka Naranje ◽  
Ankit Sangwan
Keyword(s):  

2018 ◽  
Vol 160 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Michael Koch ◽  
Mirco Schapher ◽  
Konstantinos Mantsopoulos ◽  
Miguel Goncalves ◽  
Heinrich Iro

Objective Persistent, residual, or recurrent stones after transoral duct surgery are always associated with hilar to intraparenchymal and/or multiple sialolithiasis, causing difficulties in the treatment. This study was performed to assess the value of intraductal lithotripsy in the treatment of persistent, residual, or recurrent sialolithiasis after extended duct surgery in the submandibular gland. Study Design Retrospective study covering February 2015 to June 2018. Study Setting Tertiary referral center for salivary gland diseases. Subjects and Methods After extended ductal surgery, 39 patients presenting with persistent, residual, or recurrent stones were treated. Four patients had persistent stones; 16 had residual stones; and 19 presented with recurrent stones. Among these patients, 50 stones were treated with intraductal pneumatic lithotripsy. Fragmentation rate, stone-free rate, and symptom-free rate after treatment with intraductal lithotripsy were outcome measures. Results Of the 39 patients, 97.4% became stone-free, and all were symptom-free. Ninety-eight percent of the stones were completely fragmented. For 23.1% of the patients, >1 stone was treated with intraductal lithotripsy. All patients with persistent stones, 93.7% of those with residual stones, and all with recurrent stones became stone-free and symptom-free. No severe complications developed. Conclusions This study shows that patients presenting with difficult and/or multiple sialolithiasis after extended transoral submandibular duct surgery can be treated with success rates >97%. For multiple sialolithiasis in particular, a multimodal treatment approach with interventional sialendoscopy and intraductal lithotripsy as a central element is a prerequisite for success, as this enables the most difficult part to be performed with high success rates.



2020 ◽  
Vol 28 (1) ◽  
pp. 54-58
Author(s):  
Chiranjib Das ◽  
Pritam Chatterjee

Introduction Ranula is a pseudocyst in the floor of the mouth originating from the sublingual salivary gland.A variety of surgical procedures have been quoted in the literature. But the main concern is high rate of recurrence. Aim of the present study is to describe a definitive technique for managing ranula and compare the result with review of literature. Materials and Methods A prospective study was done in the department of ENT in a tertiary care hospital of West Bengal from 1st April, 2014 to 31st March, 2019. Patients presenting with ranula irrespective of age and sex; size of the mass; whether primary or recurrent case were included in the study. Patients presenting with congenital and plunging ranula were excluded. Patients were treated with total excision of ranula along with sublingual salivary gland. Patients were followed up regularly for at least one year post-operatively. Results We treated thirteen primary and four recurrent cases of ranula. Among them eight were male and nine were female. Patients were from seven to thirty three years of age with most being in the second decade of life. There was no injury to lingual nerve or submandibular duct in any patient. We did not observe any recurrence till date. Conclusion Successful management of a ranula includes identification of the extent of the cyst and removal of the cyst along with the sublingual salivary gland.  When done meticulously, this technique gives 100% success without any complication. 



2007 ◽  
Vol 31 (2) ◽  
pp. 139-141 ◽  
Author(s):  
Tomomichi Oka ◽  
Jouji Nomura ◽  
Yoshihiko Matsumura ◽  
Shigeaki Yanase ◽  
Takayuki Nagata ◽  
...  

Sialolithiasis is a comparatively rare disease in children. Here, we report the case of a female aged 5 years and 7 months old with sialolithiasis of the submandibular duct, and we examine the causal factors, diagnostic techniques and treatment methods for the disease based on a review of the literature.



1984 ◽  
Vol 177 (1) ◽  
pp. 165-167 ◽  
Author(s):  
D. Jirakulsomchok ◽  
J.-H. Yu ◽  
C. A. Schneyer


2007 ◽  
Vol 28 (3) ◽  
pp. 184-186 ◽  
Author(s):  
Seckin O. Ulualp ◽  
Sarah C. Rodriguez ◽  
Jose Hernandez ◽  
Matthew Hay
Keyword(s):  


2019 ◽  
Vol 61 (11) ◽  
pp. 1323-1328
Author(s):  
Saskia E Kok ◽  
Hans F J P Valenberg ◽  
Karen Hulst ◽  
Peter Jongerius ◽  
Corrie E Erasmus ◽  
...  


1976 ◽  
Vol 17 (2) ◽  
pp. 97 ◽  
Author(s):  
Soon Chuol Kim
Keyword(s):  


Author(s):  
SUELEN ATHAANDA GONÇALVES ◽  
GABRIEL GOMES DA SILVA ◽  
JABES GENNEDYR DA CRUZ LIMA ◽  
JULIANA CAMPOS PINHEIRO ◽  
EVERTON FREITAS DE MORAIS ◽  
...  


2013 ◽  
Vol 123 (5) ◽  
pp. 1163-1167 ◽  
Author(s):  
Jolie L. Chang ◽  
David W. Eisele
Keyword(s):  


2012 ◽  
Vol 303 (10) ◽  
pp. G1153-G1163 ◽  
Author(s):  
Kate Patterson ◽  
Marcelo A. Catalán ◽  
James E. Melvin ◽  
David I. Yule ◽  
Edmund J. Crampin ◽  
...  

A healthy salivary gland secretes saliva in two stages. First, acinar cells generate primary saliva, a plasma-like, isotonic fluid high in Na+ and Cl−. In the second stage, the ducts exchange Na+ and Cl− for K+ and HCO3−, producing a hypotonic final saliva with no apparent loss in volume. We have developed a tool that aims to understand how the ducts achieve this electrolyte exchange while maintaining the same volume. This tool is part of a larger multiscale model of the salivary gland and can be used at the duct or gland level to investigate the effects of genetic and chemical alterations. In this study, we construct a radially symmetric mathematical model of the mouse salivary gland duct, representing the lumen, the cell, and the interstitium. For a given flow and primary saliva composition, we predict the potential differences and the luminal and cytosolic concentrations along a duct. Our model accounts well for experimental data obtained in wild-type animals as well as knockouts and chemical inhibitors. Additionally, the luminal membrane potential of the duct cells is predicted to be very depolarized compared with acinar cells. We investigate the effects of an electrogenic vs. electroneutral anion exchanger in the luminal membrane on concentration and the potential difference across the luminal membrane as well as how impairing the cystic fibrosis transmembrane conductance regulator channel affects other ion transporting mechanisms. Our model suggests the electrogenicity of the anion exchanger has little effect in the submandibular duct.



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