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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: [email protected]
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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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