Journal article
Treatment of salivary stones by intraductal pneumatic lithotripsy: A preliminary presentation of the StoneBreaker with sterile bag covering.
- Oddon PA Oral & Maxillofacial Department, Conception Hospital, AP-HM, 147, boulevard Baille, 13385 Marseille, France. Electronic address: pierre-antoine.oddon@ap-hm.fr.
- Royer G Oral & Maxillofacial Department, Conception Hospital, AP-HM, 147, boulevard Baille, 13385 Marseille, France.
- Graillon N Oral & Maxillofacial Department, Conception Hospital, AP-HM, 147, boulevard Baille, 13385 Marseille, France.
- Marchal F Department of Otolaryngology-Head and Neck Surgery, Geneva University Hospital, Geneva, Switzerland.
- Chossegros C LPL, UMR 6057, Aix Marseille University, CNRS, 13100 Aix-en-Provence, France; Oral & Maxillofacial Department, Conception Hospital, AP-HM, 147, boulevard Baille, 13385 Marseille, France.
- Foletti JM Oral & Maxillofacial Department, hôpital Nord, AP-HM, chemin des Bourrelys, 13015 Marseille, France.
- 2017-03-28
Published in:
- Journal of stomatology, oral and maxillofacial surgery. - 2017
Lithotripsy
Salivary glands
Sialendoscopy
Sialolithiasis
Compressed Air
Disinfection
Endoscopy
Humans
Lithotripsy
Pilot Projects
Preliminary Data
Retrospective Studies
Salivary Ducts
Salivary Gland Calculi
Sialadenitis
English
INTRODUCTION
Sialendoscopy has changed the management of obstructive sialadenitis. Nowadays, minimally invasive techniques evolve to preserve salivary gland function. Intraductal lithotripsy allows stones fragmentation and retrieval without opening the salivary duct. We report our experience with the StoneBreaker (SB), a new lithotripter with improvement using a sterile bag that permits reuse of the SB without passing to sterilization.
TECHNICAL NOTE
The non-sterilized SB was used into a sterile camera sleeve in 5 patients, 3 submandibular lithiases and 2 parotid lithiases. Technique and outcomes were described with a review of the literature. An explanatory video of the procedure was performed.
DISCUSSION
Complete fragmentation was achieved and all fragments were extracted without any ductal damage. Utilization of the sterile sleeve did not change the SB efficiency and the procedure duration. The use of a sterile bag allowed several consecutive procedures with a single non-sterilized handpiece. However, the gas cartridge change may be more delicate when more than 80 impacts are needed. Patients remained symptoms and stones free one month after surgery.
Sialendoscopy has changed the management of obstructive sialadenitis. Nowadays, minimally invasive techniques evolve to preserve salivary gland function. Intraductal lithotripsy allows stones fragmentation and retrieval without opening the salivary duct. We report our experience with the StoneBreaker (SB), a new lithotripter with improvement using a sterile bag that permits reuse of the SB without passing to sterilization.
TECHNICAL NOTE
The non-sterilized SB was used into a sterile camera sleeve in 5 patients, 3 submandibular lithiases and 2 parotid lithiases. Technique and outcomes were described with a review of the literature. An explanatory video of the procedure was performed.
DISCUSSION
Complete fragmentation was achieved and all fragments were extracted without any ductal damage. Utilization of the sterile sleeve did not change the SB efficiency and the procedure duration. The use of a sterile bag allowed several consecutive procedures with a single non-sterilized handpiece. However, the gas cartridge change may be more delicate when more than 80 impacts are needed. Patients remained symptoms and stones free one month after surgery.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.jormas.2017.02.001
- PMID 28345515
- Persistent URL
- https://folia.unifr.ch/global/documents/229712
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