The article presents the data of 22 patients with adenolymphoma of the salivary glands having undergone treatment in the Maxillo-Facial Surgery Ward No.1 at the age 36-72. In the preoperative period, all the patients were performed ultrasound, X-ray computer and / or magnetic resonance imaging of the salivary glands. We singled out groups of patients depending on the types of the macroscopic structure of the tumor and described basic and advanced features of ultrasound diagnosis of each variant of adenolymphomas. The received results will make it possible to predict the development of adenolymphoma of salivary glands during the preoperative period.
Objectives. To analyze the possibility of using the technique of intraoperative ultrasound navigation on surgical treatment of patients with salivary stone disease of the parotid salivary gland (PSG). Material and methods. A retrospective analysis of three medical records of an in-patient treated at the department of maxillofacial surgery and operative dentistry in Gomel Regional Clinical Hospital during the period from 2019 to 2021 for salivary stone disease of PSG was made. Results. The results of clinical observation of treatment of a patient with sialolithiasis of the parenchymal part of the PSG are presented. Taking into consideration the complexity of surgical removal of sialolites of this localization, the patient was initially treated conservatively which was of no effect. Salivary stones were removed using intraoperative ultrasound navigation which made it possible to successfully perform the surgical intervention, reduce surgical trauma, create conditions for structural and functional recovery of the PSG and reduce the possibility of the disease relapse by improving intraoperative visual control. Conclusions. The use of the technique of intraoperative ultrasound navigation in the surgical treatment of patients with salivary stone disease of the parotid salivary gland allows to remove the concrement, minimizing the trauma to the tissues of the operated area and the organ itself, maintaining adequate blood flow and architectonics in it, which enables the reduction in the number of postoperative complications, relapses of the disease and positively affects the quality of patients’ life.
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