Die endoskopisch kontrollierte Laserlithotripsie zur Behandlung der Sialolithiasis

Abstract

The article describes the first successful application of endoscopically controlled laserlithotripsy in the ENT field in a patient with recurrent purulent sialadenitis of the left submandibular gland due to sialolithiasis. By means of endoscopically controlled laserinduced lithotripsy of salivary gland stones, it was possible to achieve complete stone fragmentation without harming the glandular duct and the gland.

Therapeutic Sialendoscopy for the Management of Radioiodine Sialadenitis

“…1 Standard conservative therapy for 131 I sialadenitis has been reported to control symptoms satisfactorily in approximately 70% of patients; however, the remaining patients with refractory symptoms have previously been faced with resection of their glands as the only available option. 5 In 1990, the first report of the use of a flexible endoscope combined with an intracorporeal lithotriptor was published by Kö nigsberger et al 12 for treatment of sialolithiasis of the major salivary glands. In 1994, Nahlieli et al 13 reported the use of a rigid endoscope for the diagnosis and treatment of salivary gland obstruction.…”

Interventional sialendoscopy for treatment of radioiodine‐induced sialadenitis

“…Since its first documented use in 1990 11,12 for removal of salivary calculi, the role of sialendoscopy has grown to include the diagnosis and treatment of recurrent symptoms related to sialadenitis or salivary duct stenosis. A common cause of sialadenitis and strictures is radioiodine therapy, which is frequently used for ablation of residual thyroid tissue after total thyroidectomy performed for thyroid carcinoma.…”

Traitements non chirurgicaux des sialolithiases : sialendoscopie et lithotripsie

“…La fragmentation endocanalaire par différents lasers fut initiée et comparée par plusieurs auteurs [2,3,[17][18][19] avec de bons résultats mais un risque important de plaies des canaux salivaires. La technique était parfois combinée à l'endoscopie, sous anesthésie générale [13,14].…”