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Ultrasound-guided mechanical fragmentation of sialoliths (sonoguide forceps).
MedLine Citation:
PMID:  20848404     Owner:  NLM     Status:  In-Process    
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.
Urban W Geisthoff; Steffen Maune
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Head & neck     Volume:  32     ISSN:  1097-0347     ISO Abbreviation:  Head Neck     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1641-7     Citation Subset:  IM    
Department of Otorhinolaryngology, Hospitals of the City of Cologne, Cologne, Germany.
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