Department of Otorhinolaryngology and Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
Otolaryngol Head Neck Surg. 2022 Sep;167(3):457-464. doi: 10.1177/01945998211051296. Epub 2021 Oct 12.
To report initial experience in using a pneumatic lithotripter to treat salivary stones.
Level IV retrospective study.
University hospital and tertiary referral center.
A pneumatic lithotripter was used to treat salivary stones after these were diagnosed. Probes with diameters of 0.7 mm were used. Total fragmentation was intended in all stones. Stone fragments were removed using several instruments in serial sialendoscopies to achieve complete stone clearance.
A total of 62 patients with 77 stones were treated. Forty-three submandibular stones were treated in 34 patients, and 34 parotid stones were treated in 28 patients. An operating pressure of 2.5 bar and a single frequency mode were used. Complete fragmentation was achieved in all but one of the treated stones in both glands (98.7%). Among the patients, 90.32% became stone free and 100% symptom free. Multiple stones were treated in 24.19% of the patients, and multimodal therapy was also carried out in 24.19%. All of the glands were preserved.
The pneumatic lithotripter proved to be effective in the treatment of sialolithiasis. Stone size, location, and the gland involved were important clinical factors. The device was sufficient to achieve success without any increased risk for complications in the patients or damage to the sialendoscopes.
报告使用气动碎石器治疗唾液腺结石的初步经验。
IV 级回顾性研究。
大学医院和三级转诊中心。
在诊断出唾液腺结石后，使用气动碎石器进行治疗。使用直径为 0.7mm 的探头。所有结石均采用完全碎裂的方法。通过多次涎腺内镜检查中使用各种器械，以清除所有结石碎片。
共治疗了 62 例患者的 77 颗结石。34 例患者中治疗了 43 颗下颌下腺结石，28 例患者中治疗了 34 颗腮腺结石。使用 2.5 巴的操作压力和单一频率模式。除了 2 颗结石外，其余所有治疗的结石在两种腺体中均完全碎裂（98.7%）。在患者中，90.32%的患者结石清除，100%的患者症状缓解。24.19%的患者接受了多个结石的治疗，24.19%的患者还进行了多模态治疗。所有腺体均被保留。
气动碎石器在治疗涎石病方面效果显著。结石大小、位置和受累腺体是重要的临床因素。该设备足以成功治疗，不会增加患者并发症风险或损坏涎腺内镜。
