Combined external lithotripsy and endoscopic techniques for advanced sialolithiasis cases

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Oded NahlieliAmi Zaguri

Abstract

To assess a combined external lithotripsy-sialoendoscopy method developed for advanced salivary gland sialolithiasis. A total of 94 patients (43 males and 51 females) underwent these treatment methods. Of these 94 patients, 60 had pathologic features in the submandibular gland and 34 in the parotid gland. A miniature external lithotripter was used, combined with multifunctional sialoendoscopes and endoscopic-assisted techniques, to achieve effective removal/elimination of the stones in these difficult cases. Total elimination of the stone using lithotripsy alone was achieved in 32% of the cases; in 29%, intraductal endoscopic assistance was needed. In the remaining 39%, the removal of a stone was achieved with the help of an endoscopy-assisted extraductal approach (37 cases). At 6 months of follow-up, all patients who had undergone lithotripsy or lithotripsy plus intraductal endoscopy had an absence of symptoms. Of the 37 patients who had undergone an endoscopy-assisted extraductal approach, 35 (95%) remained asymptomatic. Lithotripsy plus intraductal or extraductal endoscopic treatment of sialolithiasis is a highly effective surgical method of eliminating/removing salivary stones, especially those attached to the surrounding t...Continue Reading

References

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Citations

Nov 14, 2012·The Journal of Craniofacial Surgery·Thiago de Santana SantosEmanuel Dias de Oliveira E Silva
Jun 26, 2013·AJR. American Journal of Roentgenology·Sylvain TerrazMinerva Becker
Dec 3, 2014·The Medical Clinics of North America·Louis Mandel
Nov 26, 2010·Dental Clinics of North America·Louis Mandel
Jun 25, 2013·The Laryngoscope·Naveed BasheethMichael Murphy
Aug 22, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·LingYan ZhengChuangQi Yu
Mar 7, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Salvatore MartellucciAndrea Gallo
Mar 24, 2017·Journal of Stomatology, Oral and Maxillofacial Surgery·M ArnaudJ M Foletti

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