ABSTRACT
Sialolithiasis is the most common disease of salivary glands. It mainly affects the submandibular gland. Its diagnosis is based on clinical and radiological signs. Treatment is surgical. The aim of our study was to determine the epidemiological; clinical; therapeutic and evolutionary lithiasis of the submandibular gland. This was a retrospective study of 38 patients operated on for calculi of the submandibular gland during the period between January 2010 to December 2013 at the ENT department and head and neck surgery at the hospital August 20; Ibn Rushd Hospital in Casablanca. 63% of patients were male with a mean age of 43 years. The main reason for consultation represented by submandibular swelling (34 cases). All our patients had a cervical ultrasound. Resection of the submandibular gland was performed in 35 patients. The postoperative complications were noted in 6 patients. Monitoring patients; 6 to 12 months after surgery were noted only one case of recurrence
Subject(s)
Case Reports , Disease Management , Lithiasis/epidemiology , Submandibular GlandABSTRACT
Objective: To study the epidemiological; clinical and therapeutic aspects of upper urinary tract lithiasis at our department. Material and Methods: This is a retrospective study based on the patients' records and covering the period from January 1; 1992 to December 31; 2002. Results: During a period of 10 years; 110 cases of upper urinary tract calculi out of a total number of 7128 hospitalized patients were seen at our institution; thus constituting 1;54of all hospital admissions. The patients' mean age was 35;49 years (range: one to 75 years); the male to female ratio was 7:1. The main presenting symptom was renal colic followed by lower back pain. Treatment was mainly by open surgery (108 of 109 cases were managed by conventional surgery). Follow-up was uneventful in all cases with a mean hospital stay of 13;5 days. Conclusion: Upper urinary tract lithiasis is rarely encountered in our region; but it seems to be in constant progression. We are still obliged to resort to open surgery in most cases; although this method is not the treatment of choice in developed countries any more