OBJECTIVES/HYPOTHESIS: To test the effectiveness of a newly approved pneumatic lithotripter for fragmentation of salivary stones. STUDY DESIGN: Retrospective study in a tertiary referral center. METHODS: In 44 patients, 49 stones were primarily treated with direct endoscopic guidance using the StoneBreaker. Twenty-three stones were located in the parotid gland and 26 in the submandibular gland. RESULTS: Complete fragmentation was achieved combined extracorporeal in 97.7% of the stones. All of the patients became symptom free, and 97.7% were stone free. Three patients underwent lithotripsy procedures. Altogether additional treatment was necessary in five cases to achieve stone clearance. The reason for residual sialolithiasis was intraparenchymal repulsion of a residual fragment (n = 1). The glands were preserved in all cases. CONCLUSIONS: Endoscopically guided intraductal pneumatic lithotripsy using the StoneBreaker is an effective and promising procedure for the treatment of sialolithiasis. LEVEL OF EVIDENCE: 4 Laryngoscope, 126:1545-1550, 2016.
OBJECTIVES/HYPOTHESIS: To test the effectiveness of a newly approved pneumatic lithotripter for fragmentation of salivary stones. STUDY DESIGN: Retrospective study in a tertiary referral center. METHODS: In 44 patients, 49 stones were primarily treated with direct endoscopic guidance using the StoneBreaker. Twenty-three stones were located in the parotid gland and 26 in the submandibular gland. RESULTS: Complete fragmentation was achieved combined extracorporeal in 97.7% of the stones. All of the patients became symptom free, and 97.7% were stone free. Three patients underwent lithotripsy procedures. Altogether additional treatment was necessary in five cases to achieve stone clearance. The reason for residual sialolithiasis was intraparenchymal repulsion of a residual fragment (n = 1). The glands were preserved in all cases. CONCLUSIONS: Endoscopically guided intraductal pneumatic lithotripsy using the StoneBreaker is an effective and promising procedure for the treatment of sialolithiasis. LEVEL OF EVIDENCE: 4 Laryngoscope, 126:1545-1550, 2016.
Authors: A Gallo; P Capaccio; M Benazzo; L De Campora; M De Vincentiis; P Farneti; M Fusconi; M Gaffuri; F Lo Russo; S Martellucci; F Ottaviani; G Pagliuca; G Paludetti; E Pasquini; L Pignataro; R Puxeddu; M Rigante; E Scarano; S Sionis; R Speciale; P Canzi Journal: Acta Otorhinolaryngol Ital Date: 2016-12 Impact factor: 2.124
Authors: P Capaccio; P Canzi; M Gaffuri; A Occhini; M Benazzo; F Ottaviani; L Pignataro Journal: Acta Otorhinolaryngol Ital Date: 2017-04 Impact factor: 2.124