타석증의 발생 위치에 따른 분류: 후향적 차트 리뷰 534예 (Classification of Sialolithiasis by Location of Stones: Retrospective Review of 534 Cases)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 62권 / 8호 / 457 ~ 461페이지
· 저자명 : 이지수, 한주호, 김선욱, 최효근, 박범정

초록

Background and Objectives To investigate epidemiological features of patients with sialolithiasisand to evaluate the difference in outcomes depending on its location.
Subjects and Method We included in the test 472 patients, or 534 cases, who were admittedto the Hallym University Sacred Heart Hospital between February 2006 and May 2017with the diagnosis of sialolithiasis. The diagnosis of sialolithiasis was established by CT images;all of the cases were classified by the location of stones (orifice to stone/orifice to hilum:0-0.25, type I; 0.25-0.5, type II; 0.5-0.75, type III; 0.75-1, type IV).
Results The average size of stone was 7.2±4.8 mm and the mean patient age was 36.1±17.4years old. According to the method described above, 534 cases were classified into the following:type I consisted of 188 cases (35.2%), type II consisted of 55 cases (10.2%), type III consistedof 92 cases (17.2%) and type IV consisted of 199 (37.2%). When comparing these types,stones in Type I were significantly smaller than other groups. There was a significant differencein the surgical method depending on the location of stones. Different complications suchas swelling, bleeding, tongue discomfort, ranula, recurrence, etc. have been reported and, together,they statistically show meaningful differences in the distribution depending on types.
Conclusion The position of stone in Wharton’s duct is important factor that can determinethe method of surgical procedure or postoperative prognosis. We recommend 4 types classificationof sialolithiasis and it can provide more specific diagnosis of disease and facilitate approachfor treatment.

영어초록

Background and Objectives To investigate epidemiological features of patients with sialolithiasisand to evaluate the difference in outcomes depending on its location.
Subjects and Method We included in the test 472 patients, or 534 cases, who were admittedto the Hallym University Sacred Heart Hospital between February 2006 and May 2017with the diagnosis of sialolithiasis. The diagnosis of sialolithiasis was established by CT images;all of the cases were classified by the location of stones (orifice to stone/orifice to hilum:0-0.25, type I; 0.25-0.5, type II; 0.5-0.75, type III; 0.75-1, type IV).
Results The average size of stone was 7.2±4.8 mm and the mean patient age was 36.1±17.4years old. According to the method described above, 534 cases were classified into the following:type I consisted of 188 cases (35.2%), type II consisted of 55 cases (10.2%), type III consistedof 92 cases (17.2%) and type IV consisted of 199 (37.2%). When comparing these types,stones in Type I were significantly smaller than other groups. There was a significant differencein the surgical method depending on the location of stones. Different complications suchas swelling, bleeding, tongue discomfort, ranula, recurrence, etc. have been reported and, together,they statistically show meaningful differences in the distribution depending on types.
Conclusion The position of stone in Wharton’s duct is important factor that can determinethe method of surgical procedure or postoperative prognosis. We recommend 4 types classificationof sialolithiasis and it can provide more specific diagnosis of disease and facilitate approachfor treatment.

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