残余颌下腺Wharton导管内涎石复发的研究进展

Research progress on recurrent sialoliths in residual Wharton’s duct

残余颌下腺Wharton导管内涎石复发是涎石继发慢性颌下腺炎行颌下腺切除术后的一种远期并发症,表现为口底或颌下区硬性肿块,常伴发感染。这一并发症的发病率较低,目前相关研究及文献报道较少,临床上缺乏广泛关注。故本文就残余颌下腺导管内涎石复发的病因、临床表现、诊断、治疗及预防等作一综述,以期对临床工作有所帮助。

The recurrence of sialoliths in residual Wharton’s duct is a long-term complication after submandibular gland excision due to glandular dysfunction caused by chronic submaxillaritis secondary to sialoliths. This condition presents with a painful and solid mass at the floor of the mouth or submandibular area. The recurrence of sialoliths in residual Wharton’s duct due to the lack of attention from clinicians has been rarely reported. To guide clinical operations, our review summarizes current knowledge on the causes, clinical manifestations, diagnosis, treatment, and prevention of this complication.