Extracorporeal shockwave lithotripsy in the management of salivary calculi

Escudier, Michael; Brown, Jackie; Drage, Nicholas; McGurk, Mark

doi:10.1002/bjs.4067

Cited by 78 publications

(70 citation statements)

References 16 publications

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“…This included 42 patients who had previously been analyzed as part of an assessment of the efficacy of the technique. 4 The selection criteria applied are shown in Table II. The test group consisted of 78 submandibular and 64 parotid patients with salivary stones.…”

Section: Methodsmentioning

confidence: 99%

Factors influencing the outcome of extracorporeal shock wave lithotripsy in the management of salivary calculi

et al. 2010

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Section: Methodsmentioning

confidence: 99%

Factors influencing the outcome of extracorporeal shock wave lithotripsy in the management of salivary calculi

et al. 2010

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“…These include external or internal lithotripsy, laser fragmentation or microdrill [15,16]. The success rate for endoscopic sialolithotomy of larger stones without fragmentation was as low as 35 % [4,12].…”

Section: Discussionmentioning

confidence: 99%

Interventional Sialendoscopy with Endoscopic Sialolith Removal Without Fragmentation

Dabirmoghaddam

Hosseinzadehnik

2012

Indian J Otolaryngol Head Neck Surg

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We performed a retrospective analysis to review the results and complications of sialendoscopy and to identify the overall success rate of mechanical stone retrieval without fragmentation in our patients with sialolithiasis. Between 2009 and 2011, 33 patients with sialolithiasis underwent interventional sialendoscopy. Patients with sialoliths larger than 7 mm in the Wharton's duct and 5 mm in the Stensen's duct or intraparenchymal stones were not included in this study. Grasping forceps, wire baskets and graspers was used for stone removal. The mean age at presentation was 41.7 (range, 29-62) years with a male to female ratio of approximately 1:2. The average size of the stones ranged from 2 to 6 mm. The overall success rate for endoscopic stone retrieval was 78 % (26 of 33) and three patients required a combined approach with intraoral incisions for stone removal. The major complication rate was 3 % (1 of 33) caused by submandibular duct perforation. The endoscopic retrieval of salivary stones is a safe and effective technique in selected cases. As instruments for stone fragmentation are expensive and not available everywhere, selecting patients with small and medium sized stones could lead to successful results in majority of cases.

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“…Intraoperative and late failures were seen in 8% and 6% of all cases, respectively; these were due to large calculi size or to calculi being located in the intraglandular parenchyma. An experimental study conducted by Escudier et al (22) concludes that extracorporea1 shock wave lithotripsy is effective when calculi are smaller than 7 mm; however, on this matter, we have no direct experience.…”

Section: Discussionmentioning

confidence: 99%

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

Faizal

Gangadharan

Thankappan

2017

MJMS

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Background: Sialendoscopy is gaining in popularity in treating calculus disease. The delicacy of the instrument and the diameter of the salivary ducts are factors that limit the ability to achieve complete success. There is also continued speculation regarding the utility of the procedure, especially among clinicians who are masters of conventional methods like sialadenectomy and sialodochotomy.Objective: To assess the efficacy of sialendoscopy over conventional methods in treating sialolithiasis.Methods: A prospective case control study was conducted in a tertiary care centre; this study involved 50 patients of sialolithiasis, and it extended over a 36-month period. All had undergone treatment, either by conventional methods or interventional sialendoscopy. All patients with nonpalpable calculi smaller than 6 mm underwent interventional sialendoscopy. Failed sialendoscopies and larger nonpalpable calculi were removed through sialadenectomy. The outcome variables studied included calculus removal, postoperative symptoms, and gland preservation.Results: The success rate in terms of calculus removal by sialendoscopy was 88%, versus 100% by sialadenectomy. The salivary gland was preserved in 88% of the cases in the sialendoscopy group. Only 12% of patients were symptomatic.Conclusion: Sialendoscopy was effective in removing calculi of various sizes; it was definitely superior to conventional methods. Sialadenectomy should be reserved for cases either not suitable for sialendoscopy or in which there was an intervention failure.

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Extracorporeal shockwave lithotripsy in the management of salivary calculi

Abstract: Extracorporeal shockwave lithotripsy provides a useful option for the management of salivary calculi, particularly for stones less than 7 mm in diameter.

Cited by 78 publications

References 16 publications

Factors influencing the outcome of extracorporeal shock wave lithotripsy in the management of salivary calculi

Factors influencing the outcome of extracorporeal shock wave lithotripsy in the management of salivary calculi

Interventional Sialendoscopy with Endoscopic Sialolith Removal Without Fragmentation

Comparison between Sialendoscopy and Conventional Methods in the Treatment of Sialolithiasis

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