دورية أكاديمية

Thulium-YAG laser sialendoscopy for parotid and submandibular sialolithiasis.

التفاصيل البيبلوغرافية
العنوان: Thulium-YAG laser sialendoscopy for parotid and submandibular sialolithiasis.
المؤلفون: Durbec M; Hospital Edouard Herriot, 3 Place d'Arsonval, 69437 Lyon, France. mickael.durbec@chu-lyon.fr, Dinkel E, Vigier S, Disant F, Marchal F, Faure F
المصدر: Lasers in surgery and medicine [Lasers Surg Med] 2012 Dec; Vol. 44 (10), pp. 783-6. Date of Electronic Publication: 2012 Dec 06.
نوع المنشور: Evaluation Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Liss Country of Publication: United States NLM ID: 8007168 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-9101 (Electronic) Linking ISSN: 01968092 NLM ISO Abbreviation: Lasers Surg Med Subsets: MEDLINE
أسماء مطبوعة: Publication: New York Ny : Wiley-Liss
Original Publication: New York : Alan Liss
مواضيع طبية MeSH: Endoscopy*, Lasers, Solid-State/*therapeutic use , Lithotripsy, Laser/*methods , Parotid Diseases/*therapy , Salivary Gland Calculi/*therapy , Submandibular Gland Diseases/*therapy, Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Thulium ; Treatment Outcome ; Young Adult
مستخلص: Objective: To evaluate the efficacy and safety of thulium-YAG laser in sialendoscopic fragmentation of salivary lithiasis.
Design: Retrospective, interventional case series.
Material: Sixty-three patients treated by interventional sialendoscopy with thulium-Yag laser fragmentation between 2003 and 2010 at Edouard Herriot Hospital were included in the study. The laser was used for non-floating or large lithiasis (>4 mm).
Methods: The sialendoscopic thulium fiber laser was used in a pulsed mode with an average power output of 2-8 W to fragment and facilitate extraction of salivary stones. Several variables were studied: success rate, total number of procedures, total energy per procedure, size and number of salivary stones removed, and complications.
Results: Our series of 63 cases includes 40 cases of parotid lithiasis and 23 cases of submandibular lithiasis. In nine cases, two sessions of laser were performed. Stone size was evaluated pre-operatively by ultrasound and varied between 2 and 18 mm. Laser fragmentation was possible in every case. Complete extraction of the lithiasis was possible in 51 cases (73.9%) and partial extraction in eight cases (12.6%). Extraction failed in four cases (6.3%). Mean stone size was 5.4 mm (5.7 mm for parotid glands and 5.0 mm for sub-mandibular glands) and mean energy per procedure was 1,450 J (range: 1,400-1,800 J). Ductal perforations were observed in 12.7% of the cases. 65.1% of patients were free of symptoms with a mean follow-up of 18 months.
Conclusion: Thulium-YAG laser appears to be an effective and safe technique in the treatment of salivary lithiasis.
(Copyright © 2012 Wiley Periodicals, Inc.)
المشرفين على المادة: 8RKC5ATI4P (Thulium)
تواريخ الأحداث: Date Created: 20121211 Date Completed: 20130607 Latest Revision: 20191210
رمز التحديث: 20240829
DOI: 10.1002/lsm.22094
PMID: 23224989
قاعدة البيانات: MEDLINE
الوصف
تدمد:1096-9101
DOI:10.1002/lsm.22094