Filipov Iulian, Chirila Lucian, Sandulescu Mihai, Cristache Gheorghe, Cristache Corina Marilena
Doctoral School "Carol Davila" University of Medicine and Pharmacy Bucharest Romania.
Department of Maxillofacial Surgery "Queen Maria" Military Emergency Hospital Brasov Romania.
OTO Open. 2025 Jan 26;9(1):e70080. doi: 10.1002/oto2.70080. eCollection 2025 Jan-Mar.
This study aims to evaluate the clinical efficacy of electro-pneumatic intracorporeal lithotripsy for the treatment of salivary gland stones.
A prospective cohort study of patients diagnosed with obstructive salivary gland syndrome, where basket-assisted sialendoscopy alone failed to remove the calculi.
This study was conducted at the "Queen Maria" Military Hospital in Brașov, Romania, and a private practice, between February 2023 and May 2024.
A total of 29 patients with salivary calculi were treated using the SialoLither device (Hidromed), which operates on the electro-pneumatic principle. The number of sessions required for complete stone removal, the duration of each session, and the number of ballistic impulses applied were recorded. Statistical analyses, including the Mann-Whitney test and multiple linear regression, were conducted to assess the relationship between stone size, location, and treatment outcomes.
Complete removal was achieved in 72.4% of patients after a single session, with 100% success after 3 sessions. The average number of impulses was 13.9 (±4.25), with no significant difference in outcomes between the parotid and submandibular glands ( > .05). The total duration varied, with a mean time of 89.97 (±54.89) minutes. Complications were minimal, with only 2 cases of minor epithelial damage.
Electro-pneumatic intracorporeal lithotripsy is a highly effective, minimally invasive technique for managing salivary calculi, offering a safe and efficient alternative to traditional surgical methods.
本研究旨在评估电动气压体内碎石术治疗涎腺结石的临床疗效。
对诊断为阻塞性涎腺综合征且单纯篮式辅助涎腺内镜取石失败的患者进行前瞻性队列研究。
本研究于2023年2月至2024年5月在罗马尼亚布拉索夫的“玛丽亚女王”军事医院和一家私人诊所进行。
共有29例涎腺结石患者使用基于电动气压原理的SialoLither设备（Hidromed）进行治疗。记录完全清除结石所需的治疗次数、每次治疗的持续时间以及施加的弹道脉冲数。进行了包括曼-惠特尼检验和多元线性回归在内的统计分析，以评估结石大小、位置与治疗结果之间的关系。
单次治疗后72.4%的患者结石完全清除，3次治疗后成功率达100%。平均脉冲数为13.9（±4.25），腮腺和下颌下腺的治疗结果无显著差异（>0.05）。总持续时间各不相同，平均时间为89.97（±54.89）分钟。并发症极少，仅2例出现轻微上皮损伤。
电动气压体内碎石术是治疗涎腺结石的一种高效、微创技术，为传统手术方法提供了一种安全有效的替代方案。
