A case of extreme dilatation of Stenon's duct

A dilatation of the parotid duct (Stenon's duct) is found in the sialodochitis or sialolithiasis. We herein report the case of a localized extreme dilatation of Stenon's duct. A 45-year-old woman presented with a chief complaint of swelling in her right cheek after eating, which then disap...

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Published inOTOLOGIA FUKUOKA Vol. 43; no. 1; pp. 1 - 4
Main Authors MATSUMOTO, Ayumi, YAMAWAKI, Toshiro, INO, Chiyonori, INAMURA, Tatsuya, KISHIMOTO, Asako, KATO, Mako, YAMASHITA, Toshio
Format Journal Article
LanguageJapanese
Published JIBI TO RINSHO KAI 20.01.1997
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ISSN0447-7227
2185-1034
DOI10.11334/jibi1954.43.1_1

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Abstract A dilatation of the parotid duct (Stenon's duct) is found in the sialodochitis or sialolithiasis. We herein report the case of a localized extreme dilatation of Stenon's duct. A 45-year-old woman presented with a chief complaint of swelling in her right cheek after eating, which then disappeared at rest. The duct orifice was very small, so it was difficult to perform sialography. The sialogram, however, revealed an extreme dialatation of Stenon's duct. No caliculi were observed. The stenosis of the duct orifice was considered to be one of the main causes of the symptoms, and we therefore enlarged the duct orifice orally. After the operation, the swelling in the cheek after eating no longer occurred. We thus called this case a cyst of Stenon's duct because it was similar to a cyst of the common bile duct.
AbstractList A dilatation of the parotid duct (Stenon's duct) is found in the sialodochitis or sialolithiasis. We herein report the case of a localized extreme dilatation of Stenon's duct. A 45-year-old woman presented with a chief complaint of swelling in her right cheek after eating, which then disappeared at rest. The duct orifice was very small, so it was difficult to perform sialography. The sialogram, however, revealed an extreme dialatation of Stenon's duct. No caliculi were observed. The stenosis of the duct orifice was considered to be one of the main causes of the symptoms, and we therefore enlarged the duct orifice orally. After the operation, the swelling in the cheek after eating no longer occurred. We thus called this case a cyst of Stenon's duct because it was similar to a cyst of the common bile duct. 耳下腺の導管, すなわちステノン氏管が拡張する疾患は導管炎, 唾石症においてみられるが, この度, ステノン氏管が限局的に著しく拡張した疾患を経験したので報告した. 症例は45歳の女性で,食事の際に右側の頬部が腫れることを主訴とした. その腫脹は, 安静時には認められない. 導管開口部が極めて小さく, 耳下線造影に多大の困難を伴つたが, 得られた造影像より, 導管の著しい拡張を認めた. 唾石などは認められず, 導管の開口部の狭窄が原因の一つと考え, 口腔内より導管の拡張術を施行した. 術後, 食事に際しての頬部の腫れは消失した. 本疾患は, 総胆管嚢腫に類似することより, ステノン氏管嚢腫と命名した.
A dilatation of the parotid duct (Stenon's duct) is found in the sialodochitis or sialolithiasis. We herein report the case of a localized extreme dilatation of Stenon's duct. A 45-year-old woman presented with a chief complaint of swelling in her right cheek after eating, which then disappeared at rest. The duct orifice was very small, so it was difficult to perform sialography. The sialogram, however, revealed an extreme dialatation of Stenon's duct. No caliculi were observed. The stenosis of the duct orifice was considered to be one of the main causes of the symptoms, and we therefore enlarged the duct orifice orally. After the operation, the swelling in the cheek after eating no longer occurred. We thus called this case a cyst of Stenon's duct because it was similar to a cyst of the common bile duct.
Author INO, Chiyonori
KATO, Mako
YAMAWAKI, Toshiro
YAMASHITA, Toshio
MATSUMOTO, Ayumi
INAMURA, Tatsuya
KISHIMOTO, Asako
Author_FL 山下 敏夫
山脇 利朗
井野 千代徳
稲村 達哉
松本 あゆみ
岸本 麻子
加藤 真子
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  fullname: YAMASHITA, Toshio
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References 1) 金子敏郎他: 図説臨床耳鼻・咽喉科講座「4」. 34-35頁, メジカルビュー社, 東京, 1986.
5) 掘洋二他: 耳下腺断裂の一症例. 耳鼻臨床 補61: 194-198, 1993.
6) 岸清一郎他: 内視鏡的膵胆管造影法とその応用. 88-91頁, 東京, 南山堂, 1977.
3) 武田純治他: 耳下腺導管癌例. 耳鼻臨床 86: 1151-1555, 1993.
4) 五十嵐良和他: ステン管断裂の一治験例, 耳鼻臨床 84: 639-644, 1991.
2) Frechette CN et al: Primary carcinoma of Stensen's duct. J Surg Oncol 27: 1-7, 1984.
References_xml – reference: 4) 五十嵐良和他: ステン管断裂の一治験例, 耳鼻臨床 84: 639-644, 1991.
– reference: 1) 金子敏郎他: 図説臨床耳鼻・咽喉科講座「4」. 34-35頁, メジカルビュー社, 東京, 1986.
– reference: 2) Frechette CN et al: Primary carcinoma of Stensen's duct. J Surg Oncol 27: 1-7, 1984.
– reference: 3) 武田純治他: 耳下腺導管癌例. 耳鼻臨床 86: 1151-1555, 1993.
– reference: 5) 掘洋二他: 耳下腺断裂の一症例. 耳鼻臨床 補61: 194-198, 1993.
– reference: 6) 岸清一郎他: 内視鏡的膵胆管造影法とその応用. 88-91頁, 東京, 南山堂, 1977.
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Snippet A dilatation of the parotid duct (Stenon's duct) is found in the sialodochitis or sialolithiasis. We herein report the case of a localized extreme dilatation...
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SubjectTerms ステノン氏管
奇形
導管嚢腫
Title A case of extreme dilatation of Stenon's duct
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