Abstract | OBJECTIVE: 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.
|
Authors | Salvatore Martellucci, Giulio Pagliuca, Marco de Vincentiis, Antonio Greco, Massimo Fusconi, Armando De Virgilio, Camilla Gallipoli, Andrea Gallo |
Journal | Otolaryngology--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 |
PMID | 23462654
(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
|