[Bypass whartonostomy (author's transl)].
Submaxillary salivary retention, associated with the typical sign of a painful swelling, is usually but not specifically due to the presence of stones. Other factors may indeed be involved (reflex secretory dysfunction, stenosis from a scar, inflammation or tumor of wharton's duct). The authors describe a technique, employed in 14 patients, which involves a permanent bypass of "salivary flow" by the creation of a new excretory orifice in wharton's duct proximal to the obstacle producing salivary stasis. This technique is used as a complement to treatment of the cause of salivary retention, and appears to improve long-term results especially in some types of disorders due to submaxillary stones.
D000293:Adolescent; D000328:Adult; D000368:Aged; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000150:complications; D011184:Postoperative Period; D012189:Retrospective Studies; D012465:Salivary Duct Calculi / Q000601:surgery; D013363:Submandibular Gland / Q000601:surgery*; D013364:Submandibular Gland Diseases / Q000601:surgery
Whartonostomie de dérivation. Indications, technique, résultats.