title: Intraductal pneumatic lithotripsy for salivary stones with the StoneBreaker: Preliminary experience.
abstract: To test the effectiveness of a newly approved pneumatic lithotripter for fragmentation of salivary stones.
  
  
  
  Retrospective study in a tertiary referral center.
  
  
  
  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.
  
  
  
  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.
  
  
  
  Endoscopically guided intraductal pneumatic lithotripsy using the StoneBreaker is an effective and promising procedure for the treatment of sialolithiasis.
  
  
  
  4 Laryngoscope, 126:1545-1550, 2016.
authors: Department of Otorhinolaryngology-Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
authors: Michael
authors: M
authors: Koch
authors: Department of Otorhinolaryngology-Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
authors: Konstantinos
authors: K
authors: Mantsopoulos
authors: Department of Otorhinolaryngology-Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
authors: Mirco
authors: M
authors: Schapher
authors: Department of Otorhinolaryngology-Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
authors: Felix
authors: F
authors: von Scotti
authors: Department of Otorhinolaryngology-Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
authors: Heinrich
authors: H
authors: Iro
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008875:Middle Aged; D010306:Parotid Gland / Q000601:surgery; D012189:Retrospective Studies; D018987:Salivary Ducts / Q000601:surgery; D015494:Salivary Gland Calculi / Q000601:surgery*; D013363:Submandibular Gland / Q000601:surgery; D062606:Tertiary Care Centers; D016896:Treatment Outcome; D055815:Young Adult
keywords: Salivary glands; lithotripsy; minimally invasive; sialendoscopy; sialolithiasis; treatment