Thulium‐YAG laser sialendoscopy for parotid and submandibular sialolithiasis

Durbec, M.; Dinkel, Ernst; Vigier, S.; Disant, F.; Marchal, Francis; Faure, Frédéric

doi:10.1002/lsm.22094

Cited by 61 publications

(46 citation statements)

References 20 publications

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“…Raif et al described 5 stones fully fragmented and 7 prepared for extraction by mini-forceps out of 21 stones treated with this technique 40 . The thulium YAG laser was demonstrated to be effective in stone fragmentation with a low rate of complications (12.7% ductal perforations reported by Durbec et al) 41 . A pneumatic lithotripter permits the fragmentation of the stone through a CO2 gas-driven system.…”

Section: Discussionmentioning

confidence: 99%

Sialendoscopy for salivary stones: principles, technical skills and therapeutic experience

Carta

Farneti

Cantore

et al. 2017

Acta Otorhinolaryngol Ital

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La scialoadenite cronica ostruttiva rappresenta una delle più frequenti patologie non-neoplastiche delle ghiandole salivari e la scialoendoscopia è sempre più utilizzata nella sua diagnosi e nel suo trattamento, associata o meno con la litotripsia laser. La scialoendoscopia può essere inoltre associata ad approcci esterni mini-invasivi nelle litiasi troppo voluminose per essere rimosse con un approccio unicamente endoscopico. Il presente articolo riporta lesperienza delle Cliniche Otorinolaringoiatriche dellOspedale SantOrsola-Malpighi di Bologna e dellAzienda Ospedaliero Universitaria di Cagliari, Italia. È stata eseguita unanalisi retrospettiva su 48 pazienti (26 femmine, 22 maschi; età media di 45,3 anni; range 8-83 anni) trattati per patologia cronica ostruttiva delle ghiandole salivari maggiori mediante procedure chirurgiche endoscopiche o combinate da novembre 2010 ad aprile 2016 presso lAzienda-Ospedaliero-Universitaria di Cagliari. I risultati dellOspedale SantOrsola-Malpighi di Bologna erano stati precedentemente pubblicati. Gli aspetti tecnici della scialoendoscopia sono stati accuratamente descritti. I pazienti trattati presso lAzienda Ospedaliero Universitaria di Cagliari presentavano una patologia unilaterale in 40 casi e bilaterale in 8 casi; sono state trattate 56 ghiandole salivari maggiori (22 sottomandibolari e 34 parotidi). 5 pazienti sono stati sottoposti a scialoendoscopia bilaterale per parotite ricorrente giovanile, 10 per patologia ostruttiva non litiasica e 33 (68,75%) presentavano calcoli salivari (1 paziente presentava una litiasi parotidea bilaterale). Solo 8 pazienti sono stati sottoposti a scialectomia radicale per via esterna (5 scialectomie sottomandibolare e 3 parotidectomie). La chirurgia conservativa nei pazienti con scialoadenite cronica ostruttiva appare efficace e può essere realizzata mediante un approccio puramente endoscopico o combinato, con unalta percentuale di successo. La procedura richiede una strumentazione adeguata e deve essere eseguita da un chirurgo esperto, che abbia svolto un training specifico scialoendoscopico, in modo da evitare le possibili complicanze maggiori e minori. La scialectomia tradizionale rappresenta la extrema ratio, limitata nei casi in cui un approccio conservativo sia risultato inefficace o controindicato.

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Section: Discussionmentioning

confidence: 99%

Sialendoscopy for salivary stones: principles, technical skills and therapeutic experience

Carta

Farneti

Cantore

et al. 2017

Acta Otorhinolaryngol Ital

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“…Particularly, the use of Thulium-YAG laser in combination with subsequent endoscopic extraction of fragments had been evaluated as relatively safe technique of sialolithectomy. Successfulness in relation with ESWL was comparable in the parotid gland treatment and even twice higher in the submandibular salivary gland treatment [19]. Despite these optimistic results, the long-term reserved attitude towards this technique does not change very much because of existing risks of iatrogenic damage to soft tissues.…”

Section: Discussionmentioning

confidence: 99%

Sialendoscopy and Combined Minimally Invasive Treatment for Large Parotid Stones

Rotnágl

Zavázalová

Vorobiov

et al. 2016

BioMed Research International

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Sialendoscopy (SE) represents nowadays one of the standard diagnostic and therapeutic procedures in the treatment of major salivary glands lithiasis. We know from experience that it is successful only in small percentage of patients, when used in monotherapy. However, it represents an indispensable part of all of the combined minimally invasive gland-preserving treatment techniques, the success rate of which is around 90%. In this work, we focused on the role of sialendoscopy in the treatment of patients with larger inflamed fixed stones in glandula parotis. We conducted a total of 364 sialendoscopy procedures in 332 patients on our site. We have confirmed lithiasis as a cause of salivary gland obstruction in 246 (74%) patients. In 9 patients there was larger, single, or multiple inflamed fixed lithiasis of glandula parotis. In this subgroup of patients endoscopically assisted sialolithectomy from external mini-incision has become the method of choice. In 9 of the 9 (100%) cases we have achieved complete elimination of stones, and in 8 of the 9 (89%) cases we have achieved complete elimination of complaints. Sialoendoscopically assisted sialolithectomy of glandula parotis from external mini-incision has proved to be highly effective technique to eliminate stones with minimal complications.

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“…The main risks with laser fragmentation seem to be duct perforation (12.7%) and thermal injury to the surrounding nerves, vessels, and soft tissue. It has also been reported that post-operative infection occurs in 7.9% of the patients [14]. …”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of a Combined Endoscopic and Transcutaneous Technique for the Management of Parotid Salivary Gland Stones

Numminen

Sillanp

Virtanen

et al. 2014

ORL

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Sialendoscopy is used in the diagnosis and treatment of various symptoms relating to the salivary gland, e.g. chronic swelling or obstruction and inflammation of the salivary duct. Small intraductal stones can be removed with various instruments during sialendoscopy, whereas larger ones can be fragmented with extracorporeal shockwave lithotripsy or laser. However, 5-10% of the patients with parotid stones cannot be treated with these methods. In patients with large impacted stones or stones in a hilus area, a combined endoscopic and transcutaneous technique can be employed. The stone is approached endoscopically, a skin flap is raised over or a small incision is made through the illuminated area, and the stone is removed by an external route with minimal morbidity. This retrospective study analysed the cases of 8 patients treated using the combined technique, 6 of whom became symptom free. Superficial parotidectomy was performed in 1 patient. No complications were observed, and ductal stents were not used. The average diameter of the stones was 7.6 mm (range 7.0-10.2). The combined technique is recommended for the removal of large and impacted intraductal stones in the parotid gland. No major complications have been reported. i 2014 S. Karger AG, Basel

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Thulium‐YAG laser sialendoscopy for parotid and submandibular sialolithiasis

Abstract: Thulium-YAG laser appears to be an effective and safe technique in the treatment of salivary lithiasis.

Cited by 61 publications

References 20 publications

Sialendoscopy for salivary stones: principles, technical skills and therapeutic experience

Sialendoscopy for salivary stones: principles, technical skills and therapeutic experience

Sialendoscopy and Combined Minimally Invasive Treatment for Large Parotid Stones

Retrospective Analysis of a Combined Endoscopic and Transcutaneous Technique for the Management of Parotid Salivary Gland Stones

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