Treatment of salivary stones by intraductal pneumatic lithotripsy: A preliminary presentation of the StoneBreaker with sterile bag covering

Oddon, P.A.; Royer, Guilhem; Graillon, N.; Marchal, Francis; Chossegros, C.; Foletti, J.M.

doi:10.1016/j.jormas.2017.02.001

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…This allows surgeons to perform well-controlled movements similar to those of a stonemason using a hammer and a chisel. 21,23 The procedure involves no additional cost, wasted time replacing cartridges, and delay between shots as required by cartridge devices. 21,23,24 This pneumatic lithotripsy allows the application of unlimited single or multi-shots.…”

Section: Discussionmentioning

confidence: 99%

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A Novel Approach for the Treatment of Sialolithiasis that Preserves Salivary Duct Anatomy

Şengör¹,

Bilgili

2021

Ann Otol Rhinol Laryngol

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Objective: The sialendoscopy era in the treatment of salivary gland stones has reduced the use of classical surgical methods. However, the miniature ducts and tools may cause difficulties in removing large sialoliths. Therefore, invasive combined oral surgeries or gland resection may be considered. We searched for the most suitable method in order to stay in line with the minimally invasive approach that preserves the ductus anatomy, and that can reduce the surgical fears of patients. Materials and Methods: The study included 84 cases (23 parotid and 61 submandibular) in whom stones were fragmented by pneumatic lithotripsy and removed between January 2015 and January 2020. The parotid cases comprised 7 females and 16 males, and the submandibular cases comprised 25 females and 36 males. Intraductal lithotripsy was performed using pneumatic lithotripter. This study has fourth level of evidence. Results: Based on total number of cases (n = 84), success rate was 67/84 (79.7%) immediately after sialendoscopy, and overall success rate was 77/84 (91.6%). Based on number of stones treated (n = 111), our immediate success rate was 94/111 (84.6%), and overall success rate was 104/111 (93.7%). The success criteria were complete removal of the stone and fragments in a single sialendoscopy procedure and resolution of symptoms. Conclusions: We successfully treated salivary gland stones, including L3b stones, in our patient cohort with sialendoscopy combined with pneumatic lithotripsy. The lithotripsy method that we have adapted seems to be more useful and cost-effective compared to its alternatives. We were also able to preserve the ductus anatomy and relieve patients’ concerns. Level of Evidence: Level IV

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Section: Discussionmentioning

confidence: 99%

“…21,23 The procedure involves no additional cost, wasted time replacing cartridges, and delay between shots as required by cartridge devices. 21,23,24 This pneumatic lithotripsy allows the application of unlimited single or multi-shots. Moreover, the fragmenting pressure can be adjusted for soft stones or tissue.…”

Section: Discussionmentioning

confidence: 99%