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Pull‐through sialodochoplasty for Stensen's megaduct
Author(s) -
Kandl Jessica A.,
Ong Adrian A.,
Gillespie M. Boyd
Publication year - 2016
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.25983
Subject(s) - south carolina , otorhinolaryngology , medicine , head and neck surgery , head and neck , surgery , public administration , political science
account for 15 – 25% of obstructive salivary disease.. The presence of fibrous intraductal circular or web-like inclusions and moderate luminal narrowing have a higher tendency to form megaducts due to a reservoir effect. Megaducts are defined as a Stensen’s ducts with diameters exceeding 10mm, often with thin walls that contribute to the gland’s weak excretory force. In addition to the obstructive symptoms, megaducts pose a cosmetic problem as they frequently appear as a bulge on the patient’s cheek. Besides interventional sialendoscopy, no other effective and glandpreserving treatment has been described in the literature. The purpose of this report is to describe a novel approach to patients with symptomatic Stensen’s ductal stenosis with concurrent megaducts. Introduction