PMU-Autor/inn/en
Schapher MircoAbstract
OBJECTIVES/HYPOTHESIS
To test the effectiveness of a newly approved pneumatic lithotripter for fragmentation of salivary stones.
Retrospective study in a tertiary referral center.
In 44 patients, 49 stones were primarily treated with direct endoscopic guidance using the StoneBreaker. Twenty-three stones were located in the parotid gland and 26 in the submandibular gland.
Complete fragmentation was achieved combined extracorporeal in 97.7% of the stones. All of the patients became symptom free, and 97.7% were stone free. Three patients underwent lithotripsy procedures. Altogether additional treatment was necessary in five cases to achieve stone clearance. The reason for residual sialolithiasis was intraparenchymal repulsion of a residual fragment (n = 1). The glands were preserved in all cases.
Endoscopically guided intraductal pneumatic lithotripsy using the StoneBreaker is an effective and promising procedure for the treatment of sialolithiasis.
4 Laryngoscope, 126:1545-1550, 2016.
Useful keywords (using NLM MeSH Indexing)
Adult
Aged
Aged, 80 and over
Endoscopy/instrumentation*
Endoscopy/methods
Female
Humans
Lithotripsy/instrumentation*
Lithotripsy/methods
Male
Middle Aged
Parotid Gland/surgery
Retrospective Studies
Salivary Ducts/surgery
Salivary Gland Calculi/surgery*
Submandibular Gland/surgery
Tertiary Care Centers
Treatment Outcome
Young Adult
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Salivary glands