Ultrasound guided lithotripsy of salivary calculi using an electromagnetic lithotriptor.
Sialolithiasis is a common disease of the major salivary glands. A supplement to the traditional therapies is extracorporeal shock wave lithotripsy of the calculus. This method has been adopted from the therapy of renal or bladder calculi. Patients with a solitary calculus of parotid or submandibular gland were treated with a specially designed lithotriptor. In a retrospective study the results of this therapy were analysed. The success rate was far better for parotid gland calculi than for submandibular calculi. We could not find better results than those published in literature with other devices. In our therapeutic concept, sialolithotripsy is the therapy of first choice for single parotid gland calculi. For submandibular gland calculus this method is advisable in selected cases only.
Eggers
G
G
Department of Oral and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany. georg.eggers@med.uni-heidelberg.de
Chilla
R
R
D055590:Electromagnetic Phenomena; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008875:Middle Aged; D010305:Parotid Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D012189:Retrospective Studies; D012465:Salivary Duct Calculi / Q000000981:diagnostic imaging / Q000601:surgery; D015494:Salivary Gland Calculi / Q000000981:diagnostic imaging / Q000601:surgery*; D013364:Submandibular Gland Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography