타석에 관한 임상적 고찰

Abstract

Sialolithiasis is the formation of calcific concretions within the ductal system of a major or minor salivary gland. Submandibular glandular system is more susceptible to sialolith formation when compared with the other glands. The authors analyzed 24 cases of the salivary stone which were diagnosed and treated from Jan. 1984 to Mar. 1992 at the department of Otolaryngology, Chunan Hospital, College of Medicine, Soonchunhyang University. The results were as follows; Age distribution was even from 10 to 73 years old. Males(62.5%) were more frequently affected than females(37.5%). Right side(66.6%) was more frequent than left(29.2%). Submandibular duct was the most common site in 19 cases(79.2%). Number of calculi was various from 1 to 4 and single stone was most commonly present in 18 cases(75.0%). Size was diverse from 1 to 23mm in the longest diameter and 16 stones (47.0%) were from 2 to 5mm, 11 stones(32.4%) from 6 to 10mm. Common symptoms were swelling of submandibular area in 12 cases(50.0%), painful swelling of submandibular area at meal in 10 cases(41.7%) and odynophagia in 7 cases(29.2%) in order. In physical examination, hard mass in mouth floor was in 20 cases(83.3%) and tenderness of submandibular gland in 12 cases(50.0%). Diagnosis was made with physical examination, plain X-ray and sialogram in 16 cases (66.6%). 17 cases were treated by intraoral removal and 7 cases by submandibular gland resection and recurrence or any specific complications were not noted.