日本口腔診断学会雑誌
Online ISSN : 2188-2843
Print ISSN : 0914-9694
臨床報告
顎下腺管内の肉芽組織を内視鏡下で摘出した1例
大澤 昂平岩井 俊憲杉山 聡美林 雄一郎大橋 伸英南山 周平北島 大朗小栗 千里大澤 孝行藤内 祝
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31 巻 (2018) 1 号 p. 21-24

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Recently, endoscopic removal of sialoliths has been introduced to avoid submandibular sialoadenectomy. Furthermore, sialendoscopes enable the removal of foreign bodies or granulation tissues as well as sialoliths. We report here the endoscopic removal of granulation tissue in the hilum of the submandibular gland after a sialolith was discharged spontaneously with pus from the mucosa of the oral floor.
A 10-year-old boy with swelling of the right submandibular gland was referred to our department for endoscopic removal of a sialolith of the submandibular gland. Since there was a massive discharge of pus from the mucosa of the oral floor, the patient underwent a computed tomography (CT) scan. Because CT did not show a sialolith, we suspected that swelling of the submandibular gland was caused by granulation tissue in the hilum. Therefore, the patient underwent endoscopic removal of the granulation tissue under general anesthesia. The granulation tissue was completely removed and the surgical time was 57 minutes. The postoperative course was uneventful.

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© 2018 日本口腔診断学会
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