B-ENT

Endoscopic Holmium:YAG laser-assisted lithotripsy: A Preliminary Report

1.

Department of Otorhinolaryngology, Mackay Memorial Hospital, Taipei, Taiwan

2.

Department of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

3.

Mackay Medicine, Nursing and Management College, Taipei, Taiwan

4.

Department of Otolaryngology, Taipei Medical University Hospital

B-ENT 2015; 11: 57-61
Read: 757 Downloads: 560 Published: 04 February 2020

Endoscopic Holmium:YAG laser-assisted lithotripsy: A Preliminary Report. Problem/Objective: Laserassisted lithotripsy under sialendoscopy has the potential to overcome the limitations of traditional sialendoscopic lithotripsy when facing salivary stones. In this preliminary study, we report our experience with Holmium:YAG laserassisted lithotripsy.

Methods: Data from 11 Asian patients receiving sialendoscopies for laser-assisted lithotripsy performed in our department from August 2013 to June 2014 were recorded and reviewed.

Results: A total of 18 procedures were performed in 11 Taiwanese patients with symptoms of obstructive sialoadenitis who were diagnosed with sialolithiasis. The sizes of the stones ranged between 3 mm and 13 mm. The endoscopic lithotomy procedures were performed in all 11 patients, and stone fragmentation with the Holmium:YAG laser was done successfully in all patients. All patients were followed for a minimum of 3 months, and there was no evidence of complications or recurrences over the follow up period.

Conclusion: The Holmium:YAG laser allowed successful fragmentation of stones in all 11 patients. Our experience with this procedure supports the use of Holmium:YAG laser-assisted lithotripsy through sialendoscopy in Asian patients.

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EISSN 2684-4907