Endoscopic Holmium:YAG laser-assisted lithotripsy: A Preliminary Report
C.-H. Su 1,3, K.-S. Lee , T.-M. Tseng and S.-H. Hung 2,3
1Department of Otorhinolaryngology, Mackay Memorial Hospital; 2 Department of Otolaryngology, Taipei Medical University Hospital; Department of Otolaryngology, School of Medicine, Taipei Medical University, Taipei, Taiwan; 4 Mackay Medicine, Nursing and Management College, Taipei, Taiwan
Sialendoscopy; salivary stone, laser, lithotripsy
57 - 61
Endoscopic Holmium:YAG laser-assisted lithotripsy: A Preliminary Report. Problem/Objective: Laser- assisted 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 laser- assisted lithotripsy. Methods: Data from 11 Asian patients receiving sialendoscopies for laser-assisted lithotripsy performed in our depart - ment 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.
Vol. 11, 2015, 1st trimester

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