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Intraductal pneumatic lithotripsy for salivary stones with the StoneBreaker: Preliminary experience
Author(s) -
Koch Michael,
Mantsopoulos Konstantinos,
Schapher Mirco,
von Scotti Felix,
Iro Heinrich
Publication year - 2016
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.25849
Subject(s) - medicine , lithotripsy , extracorporeal shockwave lithotripsy , surgery
Objectives/Hypothesis To test the effectiveness of a newly approved pneumatic lithotripter for fragmentation of salivary stones. Study Design Retrospective study in a tertiary referral center. Methods 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. Results 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. Conclusions Endoscopically guided intraductal pneumatic lithotripsy using the StoneBreaker is an effective and promising procedure for the treatment of sialolithiasis. Level of Evidence 4 Laryngoscope , 126:1545–1550, 2016