Sialolithiasis. Proposal for a new minimally invasive procedure: piezoelectric surgery
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Sialolithiasis. Proposal for a new minimally invasive procedure: piezoelectric surgery

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Sialolithiasis. Proposal for a new minimally invasive procedure: piezoelectric surgery

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dc.contributor.author Pastor Ramos, Victoria es
dc.contributor.author Cuervo Díaz, Alfonso es
dc.contributor.author Aracil Kessler, Luis es
dc.date.accessioned 2014-09-17T10:58:03Z
dc.date.available 2014-09-17T10:58:03Z
dc.date.issued 2014 es
dc.identifier.uri http://hdl.handle.net/10550/37956
dc.source Pastor Ramos, Victoria ; Cuervo Díaz, Alfonso ; Aracil Kessler, Luis. Sialolithiasis. Proposal for a new minimally invasive procedure: piezoelectric surgery. En: Journal of Clinical and Experimental Dentistry, 2014, Vol. 6, No. 3: 295-298 es
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Sialolithiasis. Proposal for a new minimally invasive procedure: piezoelectric surgery es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.description.abstractenglish Sialolithiasis is the presence of stones in the ducts of the salivary glands. Most episodes are unique, and 60-80% are located exclusively in the main excretory duct. The main clinical manifestations are swelling and pain typically before, during or after meals that decreases if the obstruction is not complete. The highest prevalence of lithiasis is in the submandibular gland -87%-, whose secretion is more viscous, followed by the parotid gland -10%- and finally the sublingual gland -3%-. The most significant consequences are caused by the prolonged blockage of the duct by a stone, which can produce a persistent ductal dilatation with a swelling that does not subside, and could lead to the complete degeneration of the parenchyma, becoming a hot spot where secondary infections may occur, leading to acute bacterial sialadenitis or glandular abscesses. Treatment options range from a single probing extraction, extraction with sialographic control using the sialoen - doscope, LASER intraductal lithotripsy, lithotripsy extracorporeal shock wave (ESWL), to the surgical techniques combining open duct with endoscopic or glandular removal. We propose, with regard to a case, the use of a simple piezoelectric device which, tunnelling through the glandular channel by the ostium, allows stone fragmentation, wi - thout damaging the surrounding soft tissue. Stone removal by this less invasive method reduces the need for more complex and expensive techniques. The postoperative course without retraction of the ostium, and the regaining of functionality is favourable. es

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