RU2143855C1 - Method of treatment of sialolithiasis - Google Patents

Abstract

FIELD: medicine, particularly, stomatology. SUBSTANCE: method consists in displacement of parotid gland downward from lower edge of low jaw by means of pressing the tight gauze tampon which is preliminarily placed into molyhyoid depression. EFFECT: complications prevention. 1 cl, 1 ex

Description

 The invention relates to medicine, namely to surgical dentistry.

 There is a method of treating salivary stone disease, which consists in treating a stone located in the salivary gland with a lithotripter (Modulith from Storz medical), the shock waves of which cause crushing of the calculus, after which its fragments independently exit through the excretory ducts of the gland. The method is a prototype [1].

 However, in some cases, salivary stones are located quite high relative to the lower pole of the submandibular salivary gland and are completely or partially covered by the body of the lower jaw, which does not allow the use of lithotripter shock waves to affect the stone, since these shock waves during the procedure, firstly: on their way to the stone, they are significantly weakened due to the absorption of the lower jaw by their bone, and secondly: they adversely affect this tissue, destroying it. In these cases, lithotripsy of salivary stones cannot be performed.

 The objective of the invention is to enable unhindered passage of the shock wave of the lithotripter to the stone due to the displacement of the salivary gland (together with the stone located in it) beyond the lower edge of the body of the lower jaw, through the use of a sterile tight gauze swab placed in the maxillary-lingual groove. The size of the gauze swab depends on the volume of the oral cavity. A gauze swab rests on a hard palate and squeezes the soft tissues of the bottom of the oral cavity along with the submandibular salivary gland downward.

 The proposed method is as follows.

 A tight gauze swab is inserted into the patient's jaw-groove, they are asked to close their teeth, placed on the lithotripter and the focal crosshair is aimed at the stone on the x-ray screen, after which lithotripsy is performed.

 Example: Patient L. Diagnosis: salivary stone disease of the right submandibular salivary gland. The stone is located in the intragland gland. An X-ray of the lower jaw in a lateral projection revealed a salivary stone 1.2 x 1.5 cm in size, located behind the body of the lower jaw and only 1/3 protruding beyond its lower edge.

 After the introduction of the gauze swab into the oral cavity, a 1 cm displacement of the stone below the lower edge of the lower jaw was noted on the x-ray screen, which allowed unhindered lithotripsy according to the proposed method. A day after the first lithotripsy session, calculus fragments began to independently depart from the duct.

 Thus, the proposed method significantly expands the possibilities of providing assistance to patients suffering from salivary stone disease, since in more than 50% of cases the salivary gland stone is located behind the lower edge of the body of the lower jaw and avoids surgical intervention and possible complications associated with it.

Bibliography
1. Heinrich I., Waitz G., Nitsche N., Benninger I., Schneider Th., EII Ch. , / Extracorporeal Piezoelectric Shock-Wave Lithotripsy of salivary Gland Stones /, Laryngoscope, 1992, 102, p. 492-494.

Claims (1)

 A method of treating salivary stone disease using a lithotripter, characterized in that the salivary gland is moved downward from the lower edge of the lower jaw by pressing on a tight gauze swab, which is previously placed in the maxillary-lingual groove.