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Ho:Yag laser for sialolithiasis of Wharton's duct.

AbstractOBJECTIVE:
To assess the feasibility of intracorporeal lithotripsy with holmium YAG laser under sialoendoscopic guidance for sialolithiasis of Wharton's duct.
STUDY DESIGN:
Case series with planned data collection.
SETTING:
Tertiary referral university hospital.
METHODS:
This study was conducted on 16 patients with sialolithiasis of Wharton's duct. Diagnosis was confirmed at ultrasound examination. Patients with stones ranging from 5 to 8 mm in diameter were enrolled in the study. The selected patients underwent intracorporeal lithotripsy with holmium Yag laser under endoscopic control. Debris was removed using sialoendoscopic forceps or a wire basket during the same procedure. After a 3-month follow-up, radiological tests were rerun.
RESULTS:
Stone fragmentation was possible in all cases. All patients experienced a regular postoperative course. Postoperative ultrasound examinations revealed residual stones in 3 patients, 1 of whom was asymptomatic. Three patients complained of residual symptoms after 3 months of follow-up. These patients were treated successfully during a second sialoendoscopic procedure.
CONCLUSIONS:
In our experience, endoscopic laser lithotripsy was proved to be a feasible technique for Wharton's duct lithiasis in clinical practice.
AuthorsSalvatore Martellucci, Giulio Pagliuca, Marco de Vincentiis, Antonio Greco, Massimo Fusconi, Armando De Virgilio, Camilla Gallipoli, Andrea Gallo
JournalOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (Otolaryngol Head Neck Surg) Vol. 148 Issue 5 Pg. 770-4 (May 2013) ISSN: 1097-6817 [Electronic] England
PMID23462654 (Publication Type: Journal Article)
Topics
  • Adult
  • Endoscopy
  • Feasibility Studies
  • Female
  • Humans
  • Lasers, Solid-State
  • Lithotripsy, Laser (instrumentation)
  • Male
  • Middle Aged
  • Salivary Ducts (diagnostic imaging)
  • Salivary Gland Calculi (diagnostic imaging, surgery)
  • Treatment Outcome
  • Ultrasonography

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