Ultrasound-guided mechanical fragmentation of sialoliths (sonoguide forceps)

✍ Scribed by Urban W. Geisthoff; Steffen Maune

• Book ID: 102234782
• Publisher: John Wiley and Sons
• Year: 2010
• Tongue: English
• Weight: 207 KB
• Volume: 32
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/hed.21378

✦ Synopsis

Abstract

Background

Little data about the efficacy and limitations of ultrasound‐guided mechanical intraductal stone fragmentation and removal of sialoliths (Sonoguide Forceps) exist.

Methods

This was a chart review of patients treated within the last 4 years at 2 tertiary care centers.

Results

Sonoguide Forceps were used as a second‐line treatment in 22 patients with sialolithiasis. Ten patients were free of stones and symptoms afterwards (7 of 17 submandibular, 2 of 4 parotid, 1 of 1 sublingual). Six patients were primarily treated for parotid sialolithiasis, 4 with successful stone retrieval. The reasons for failure were a lack of accessibility to the stone by the forceps (n = 9), the impossibility of grasping the stone (n = 5), and/or the concomitant grabbing of soft tissue together with the stone (n = 3).

Conclusion

The efficacy of Sonoguide Forceps as both a secondary and primary treatment modality makes it an interesting, simple, and inexpensive therapeutic alternative. Relevant parameters for treatment success include the size and position of the stones. © 2010 Wiley Periodicals, Inc. Head Neck, 2010