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Ultrasound‐guided mechanical fragmentation of sialoliths (sonoguide forceps)
Author(s) -
Geisthoff Urban W.,
Maune Steffen
Publication year - 2010
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21378
Subject(s) - forceps , medicine , surgery , ultrasound , radiology
Background Little data about the efficacy and limitations of ultrasound‐guided mechanical intraductal stone fragmentation and removal of sialoliths (Sonoguide Forceps) exist. Methods This was a chart review of patients treated within the last 4 years at 2 tertiary care centers. Results Sonoguide Forceps were used as a second‐line treatment in 22 patients with sialolithiasis. Ten patients were free of stones and symptoms afterwards (7 of 17 submandibular, 2 of 4 parotid, 1 of 1 sublingual). Six patients were primarily treated for parotid sialolithiasis, 4 with successful stone retrieval. The reasons for failure were a lack of accessibility to the stone by the forceps ( n = 9), the impossibility of grasping the stone ( n = 5), and/or the concomitant grabbing of soft tissue together with the stone ( n = 3). Conclusion The efficacy of Sonoguide Forceps as both a secondary and primary treatment modality makes it an interesting, simple, and inexpensive therapeutic alternative. Relevant parameters for treatment success include the size and position of the stones. © 2010 Wiley Periodicals, Inc. Head Neck, 2010