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Long-term evaluation of extracorporeal shock wave lithotripsy in the treatment of salivary stones

Published online by Cambridge University Press:  30 April 2007

S Schmitz ,
P Zengel ,
I Alvir ,
M Andratschke ,
A Berghaus  and
S Lang
S Schmitz*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Grosshadern Medical Center, Ludwig-Maximilians-University of Munich, Lübeck, Germany
P Zengel
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Grosshadern Medical Center, Ludwig-Maximilians-University of Munich, Lübeck, Germany
I Alvir
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Grosshadern Medical Center, Ludwig-Maximilians-University of Munich, Lübeck, Germany
M Andratschke
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Grosshadern Medical Center, Ludwig-Maximilians-University of Munich, Lübeck, Germany
A Berghaus
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Grosshadern Medical Center, Ludwig-Maximilians-University of Munich, Lübeck, Germany
S Lang
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University of Schleswig-Holstein, Lübeck, Germany.
*
Address for correspondence: S Schmitz, Seeriederstr. 18b, 81675 Munich, Germany. Fax: 49 8131 764909 E-mail: suna.schmitz@amperkliniken.de
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Abstract

Extracorporeal shock wave lithotripsy is a rather new therapeutical method in the treatment of sialolithiasis. The objective was to evaluate retrospectively the results of the extracorporeal shock wave lithotripsy therapy performed with a Minilith SL 1 lithotripter on 167 out-patients with symptomatic stones (average size 5.94 mm) of the salivary glands over an observation period of seven years. A successful treatment with total stone disintegration was achieved in 51 (31 per cent) patients. In 92 (55 per cent) patients treatment was partially successful, with disappearance of the symptoms but a sonographically still identifiable stone. Treatment failure occurred in 24 (14 per cent) patients who then underwent surgery. The mean follow-up period was 35.6 months (minimum three, maximum 83), after which 83.2 per cent of the initially successfully treated patients were still free of symptoms.Therefore, extracorporeal shock wave lithotripsy, as a non-invasive treatment alternative with few side effects, is an efficient technique for the therapy of sialolithiasis in selected patients.

Keywords

Salivary GlandsCalculusLithotripsy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 1 , January 2008 , pp. 65 - 71
Copyright
Copyright © JLO (1984) Limited 2007

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References

1Teymoortash, A, Wollstein, AC, Lippert, BM, Peldszus, R, Werner, JA. Bacteria and pathogenesis of human salivary calculus. Acta Otolaryngol 2002;122:210–14CrossRefGoogle ScholarPubMed
2Seifert, G, Mann, W, Sialolithiasis, Kastenbauer E.. In: Naumann, HH, Helms, J, Herberhold, C, Kastenbauer, E eds. Oto-Rhino-Laryngology, 2 [in German]. Stuttgart, Germany: Georg Thieme Verlag 1992;729–32Google Scholar
3Iro, H, Zenk, J, Hornung, J, Schneider, T, Ell, C. Long-term results of extracorporeal piezoelectric shock wave lithotripsy of parotid stones [in German]. Dtsch Med Wochenschr 1998;123:1161–5CrossRefGoogle ScholarPubMed
4Mimura, M, Tanaka, N, Ichinose, S, Kimijima, Y, Amagasa, T. Possible etiology of calculi formation in salivary glands: biophysical analysis of calculus. Med Mol Morphol 2005;38:189–95CrossRefGoogle ScholarPubMed
5Epker, BN. Obstructive and inflammatory disease of the major salivary glands. J Oral Surg 1972;33:2–27CrossRefGoogle ScholarPubMed
6Ganzer, U, Sialolithiasis, Arnold W.. Algorithms of the German Society of Oto-Rhino-Laryngology Head & Neck Surgery [in German]. HNO 1997;45:521Google Scholar
7Bruneton, JN, Mourou, MY. Ultrasound in salivary gland stones. ORL J Otorhinolaryngol Relat Spec 1993;55:284–9CrossRefGoogle Scholar
8Schratter, M, Steiner, E, Imhof, H. Conventional roentgen diagnosis of the salivary glands. Still of clinical value or “traditional care” [in German]. Radiologe 1994;34:248–53Google ScholarPubMed
9Lomas, DJ, Carroll, NR, Johnson, G, Antoun, NM, Freer, CE.MR, sialography. Work in progress. Radiology 1996;200:129–33CrossRefGoogle ScholarPubMed
10Drage, NA, Brown, JE, Escudier, MP, McGurk, M. Interventional radiology in the removal of salivary calculi. Radiology 2000;214:139–42CrossRefGoogle ScholarPubMed
11Raif, J, Vardi, M, Nahlieli, O, Gannot, I. An Er:YAG Laser Endoscopic Fiber Delivery System for Lithotripsy of Salivary Stones. Lasers Surg Med 2006;38:580–7CrossRefGoogle ScholarPubMed
12Berini-Aytes, L, Gay-Escoda, C. Morbidity associated with removal of the submandibular gland. J Craniomaxillofac Surgery 1992;20:216–19CrossRefGoogle ScholarPubMed
13Marmary, Y. A novel and non-invasive method for the removal of salivary gland stones. Int J Oral Maxillofac Surg 1986;15:585–7CrossRefGoogle ScholarPubMed
14Wirth, M. Basic principles of lithotripsy [in German]. HNO 1993;41:A12–13Google ScholarPubMed
15Forssmann, B, Hepp, W, Chaussy, C, Eisenberger, F, Wanner, K. A method for no-contact destruction of kidney stones by means of shock waves [in German]. Biomed Tech 1977;22:164–8Google ScholarPubMed
16Sauerbruch, T, Delius, M, Paumgartner, G, Holl, J, Wess, O, Weber, W et al. Fragmentation of gallstones by extracorporeal shockwaves. N Engl J Med 1986;314:818–22CrossRefGoogle Scholar
17Ell, C, Kerzel, W, Heyder, N, Gunter, E, Rodl, W, Flugel, H et al. Piezoelectric lithotripsy of gallstones. Initial clinical experiences [in German]. Dtsche med Wochenschr 1988;113:1503–7CrossRefGoogle ScholarPubMed
18Iro, H, Meier, J, Nitsche, N, Wirtz, PM, Ell, C. Extracorporeal piezoelectric lithotripsy of salivary calculi. In-vitro studies [in German]. HNO 1989;37:365–8Google ScholarPubMed
19Iro, H, Nitsche, N, Schneider, HAT, Ell, C. Extracorporeal shockwave lithotripsy of salivary gland stones. Lancet 1989;2:115CrossRefGoogle ScholarPubMed
20Streem, SB. Contemporary clinical practice of shock wave lithotripsy: a reevaluation of contraindications. Journal Urol 1997;157:1197–203CrossRefGoogle ScholarPubMed
21Akker, HPvan, den, Busemann-Sokole, E. Submandibular gland function following transoral sialolithectomy. Oral Surg Oral Med Oral Pathol 1983;56:351–6CrossRefGoogle ScholarPubMed
22Nishi, M, Mimura, T, Marutani, K, Noikura, T. Evaluation of submandibular gland function by sialo-scintigraphy following sialolithectomy. J Oral Maxillofac Surg 1987;45:567CrossRefGoogle ScholarPubMed
23Yoshimura, Y, Morishita, T, Sugihara, T. Salivary gland function after sialolithiasis: scintigraphic examination of submandibular glands with 99mTc-pertechnetate. J Oral Maxillofac Surg 1989;47:704–10CrossRefGoogle ScholarPubMed
24Escudier, MP, Brown, JE, Drage, NA, McGurk, M. Extracorporal shockwave lithotripsy in the management of salivary calculi. Br J Surg (England) 2003;90:482–5CrossRefGoogle ScholarPubMed
25Iro, H, Schneider, T, Nitsche, N, Waitz, G, Ell, C. Extracorporeal piezoelectric lithotripsy of salivary stones [in German]. HNO 1990;38:251–5Google Scholar
26Zenk, J, Constantinidis, J, Kydles, S, Hornung, J, Iro, H. Clinical and diagnostic findings of sialolithiasis [in German]. HNO 1999;47:963–9CrossRefGoogle ScholarPubMed
27Hong, KH, Yang, YS. Sialolithiasis in the sublingual gland. J Laryngol Otol 2003;117:905–7CrossRefGoogle ScholarPubMed
28Ottaviani, F, Cappacio, P, Rivolta, R, Cosmacini, P, Pignataro, L, Castagnone, D. Salivary gland stones: US evaluation in shock wave lithotripsy. Radiology 1997;204:437–41CrossRefGoogle ScholarPubMed
29Pedersen, AM, Bardow, A, Beier-Jensen, S, Nauntofte, B. Salivary glands and saliva. Oral Diseases 2002;8:117–29CrossRefGoogle Scholar
30Iro, H, Benzel, W, Zenk, J, Fodra, C, Heinritz, HH. Minimally invasive treatment of sialolithiasis using extracorporeal shock waves [in German]. HNO 1993;41:311–6Google ScholarPubMed
31Iro, H, Schneider, HAT, Fodra, C, Waitz, G, Nitsche, N, Heinritz, HH et al. Shockwave lithotripsy of salivary duct stones. Lancet 1992;339:1333–6CrossRefGoogle ScholarPubMed
32Aidan, P, De, Kerviler E, LeDuc, A, Monteil, JP. Treatment of salivary stones by extracorporeal lithotripsy. Am J Otolaryngol 1996;17:246–50CrossRefGoogle ScholarPubMed
33Hessling, KH, Schick, RW, Luckey, R, Gratz, K, Qaiyumi, SA, Allhoff, EP. The therapeutic value of ambulatory extracorporeal shockwave lithotripsy of salivary calculi. A prospective study [in German]. Laryngorhinootologie 1993;72:109–15CrossRefGoogle ScholarPubMed
34Gutmann, R, Ziegler, G, Leunig, A, Jacob, K, Feyh, J. Endoscopic and extracorporeal shock wave lithotripsy of salivary calculi [in German]. Laryngorhinootologie 1995;74:249–53CrossRefGoogle ScholarPubMed
35Fokas, K, Putzr, P, Dempf, R, Eckardt, A. Extracorporeal shockwave lithotripsy for treatment of sialolithiasis of salivary glands [in German]. Laryngorhinootologie 2002;81:706–11CrossRefGoogle ScholarPubMed
36Kater, W, Meyer, WM, Wehrmann, T, Hurst, A, Buhne, P, Schlick, R. Efficacy, risks, and limits of extracorporeal shock wave lithotripsy for salivary gland stones. J Endourology 1994;4:21–4CrossRefGoogle Scholar
37Ottaviani, F, Capaccio, P, Campi, M, Ottaviani, A. Extracorporeal electromagnetic shock-wave lithotripsy for salivary gland stones. Laryngoscope 1996;106:761–4CrossRefGoogle ScholarPubMed
38Wehrmann, T, Kater, W, Marlinghaus, EH, Peters, J, Caspary, WF. Shock wave treatment of salivary duct stones: substantial progress with a minilithotripter. Clin Investig 1994;72:604–8CrossRefGoogle ScholarPubMed
39Yoshizaki, T, Maruyama, Y, Motoi, I, Wasaka, R, Furukawa, MClinical evaluation of extracorporeal shock wave lithotripsy for salivary stones. Ann Otol Rhinol Laryngol 1996;105:63–7CrossRefGoogle ScholarPubMed
40Iro, H, Zenk, J, Waldfahrer, F, Benzel, W, Schneider, T, Ell, C. Extracorporeal shock wave lithotripsy of parotid stones. Results of a prospective clinical trial. Ann Otol Rhinol Laryngol 1998;107:860–4CrossRefGoogle ScholarPubMed
41Külkens, C, Quetz, JU, Lippert, BM, Folz, BJ, Werner, A. Ultrasound-guided piezoelectric extracorporeal shock wave lithotripsy of parotid gland calculi. J Clin Ultrasound 2001;29:389–94CrossRefGoogle ScholarPubMed
42Reimers, M, Vavrina, J, Schlegel, C. Results after shock wave lithotripsy for salivary gland stones [in German]. Schweiz Med Wochenschr 2001;(Suppl 125):122S–6SGoogle Scholar
43Zenk, J, Bozzato, A, Winter, M, Gottwald, F, Iro, H. Extracorporeal shock wave lithotripsy of submandibular stones: an evaluation after 10 years. Ann Otol Rhinol Laryngol 2004;113:378–83CrossRefGoogle ScholarPubMed
44Andretta, M, Tregnaghi, A, Prosenikliev, V, Staffieri, A. Current opinions in sialolithiasis diagnosis and treatment. Acta otorhinolaryngologica Ital 2005;25:145–9Google ScholarPubMed