251. Chymotrypsin with sialendoscopy-assisted surgery for the treatment of chronic obstructive parotitis.
- Author
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Sun HJ, Xiao JQ, Qiao QH, Bao X, Wu CB, and Zhou Q
- Subjects
- Adult, Aged, Chronic Disease, Combined Modality Therapy, Humans, Middle Aged, Pain Measurement, Parotitis diagnostic imaging, Sialography, Treatment Outcome, Anti-Bacterial Agents therapeutic use, Chymotrypsin therapeutic use, Endoscopy methods, Gentamicins therapeutic use, Parotitis surgery
- Abstract
Chronic obstructive parotitis (COP) is a common disease of the parotid gland. A total of 104 patients with COP were identified and randomized into a treatment group (52 cases) and a control group (52 cases). All patients underwent sialography and salivary gland scintigraphy (SGS) examinations before surgery. The patients in the treatment group received chymotrypsin combined with gentamicin via interventional sialendoscopy to irrigate the duct, and the control group received gentamicin alone. All patients were asked to record their pain on a visual analogue scale (VAS) before treatment and at 1 week, 2 weeks, 1 month, 3 months, and 6 months after surgery. The VAS score for pain intensity was decreased at 1 week post-treatment in both groups (P<0.05). Compared to the control group, the VAS score was lower in the treatment group at 1 week, 2 weeks, and 1 month post-treatment (P<0.05). The 6-month postoperative SGS results showed improved uptake and excretion in both groups (P<0.05). The treatment group exhibited higher scores for postoperative SGS excretion than the control group (P<0.05). The administration of chymotrypsin combined with gentamicin by sialendoscopy is effective for the treatment of non-stone-related COP and specifically improves the excretion function of the parotid gland., (Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2017
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