Endoscopically controlled laser lithotripsy of sialoliths

Peter Gundlach; Juergen U. G. Hopf M.D.; Marietta Linnarz M.D.; Nils Leege; Hans H. Scherer M.D.; Johannes Tschepe; Gerhard J. Mueller

doi:10.1117/12.60253

1 August 1992 Endoscopically controlled laser lithotripsy of sialoliths

Peter Gundlach, Juergen U. G. Hopf M.D., Marietta Linnarz M.D., Nils Leege, Hans H. Scherer M.D., Johannes Tschepe, Gerhard J. Mueller

Author Affiliations +

Proceedings Volume 1649, Optical Fibers in Medicine VII; (1992) https://doi.org/10.1117/12.60253
Event: OE/LASE '92, 1992, Los Angeles, CA, United States

Abstract

Among the diseases of the major salivary glands, sialolithiasis is a frequent clinical picture. Until now the condition has nearly always had to be treated surgically. In rare cases, discharge can be achieved by acid stimulation of secretion. If located distally in the excretory duct, concrements may be removed by enoral lancing. If it is close to glands, e.g., in the knee of Wharton's duct or in the ductal part of the submandibular gland, extirpation of the gland including the stone is unavoidable. Besides wound healing problems and the occurrence of salivary fistulas, the main risk of surgery is injury to the nerves around the major salivary glands, e.g., the n. facialis or one of its branches, the n. hypoglossus, or the n. lingualis with consecutive paresis. Based on the clinical results of lithotripsy by laser-induced shock waves (LIL) applied to renal stones and ureteroliths as well as bilary duct and pancreas stones, we investigated the suitability of endoscopically controlled laser therapy for sialolithiasis.

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Peter Gundlach, Juergen U. G. Hopf M.D., Marietta Linnarz M.D., Nils Leege, Hans H. Scherer M.D., Johannes Tschepe, and Gerhard J. Mueller "Endoscopically controlled laser lithotripsy of sialoliths", Proc. SPIE 1649, Optical Fibers in Medicine VII, (1 August 1992); https://doi.org/10.1117/12.60253

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