[A new therapeutic approach to salivary calculi: extracorporeal lithotripsy].
A common pathology of the salivary gland, salivary lithiases are usually removed by open surgery. Most frequently localized in the sub-mandibular gland, calculi can also occur in the parotid gland. We developed a new procedure to treat salivary lithiasis using extracorporeal electromagnetic shock waves. New material was especially adapted for the salivary gland for lithotripsy without anesthesia. Two-hundred patients were treated; 63% had not lithiasis after treatment and 37% had small residual stones measuring less than 3 mm; 97% of the patients were symptom-free and salivary excretion was improved. We believe that extracorporeal electromagnetic shock waves is a safe noninvasive and well tolerated alternative to open surgery. We use lithotripsy as first line therapy for salivary lithiasis.
Institut d'Explorations Fonctionnelles des Glandes Salivaires, Paris.
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D000075202:Contraindications; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods; D008297:Male; D008875:Middle Aged; D010305:Parotid Diseases / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D012463:Saliva / Q000378:metabolism; D015494:Salivary Gland Calculi / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D013364:Submandibular Gland Diseases / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome