Sialendoscopy and lithotripsy:
Saved in:
| Other Authors: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Philadelphia, Pa.
Saunders
2009
|
| Series: | Otolaryngologic clinics of North America
42,6 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XIV S., S. 915 - 1229 zahlr. Ill., graph. Darst. |
| ISBN: | 9781437712544 1437712541 |
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| 650 | 4 | |a Lithotripsy | |
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| adam_text | Titel: Sialendoscopy and lithotripsy
Autor: Fritsch, Michael H.
Jahr: 2009
Sialendoscopy and Lithotripsy
Contents
Preface
Michael H. Fritsch
Sialendoscopy and Lithotripsy: Literature Review 915
Michael H. Fritsch
This article presents a brief literature review of sialendoscopy and lith-
otripsy highlights from journal articles and presentations spanning
from 1953 to 2009. Seventy-seven sources were reviewed for this
article.
Causes, Natural History, and Incidence of Salivary Stones and Obstructions 927
John D. Harrison
Uncertainty about the causes and natural history of salivary stones (sia-
loliths) and other obstructions is being dispelled by clinical and experi-
mental research. Sialoliths are now shown to be secondary to chronic
obstructive sialadenitis. Microscopic stones (sialomicroliths) accumulate
during secretory inactivity in normal salivary glands and produce atro-
phic foci by obstruction. Microbes ascend the main salivary duct during
secretory inactivity and proliferate in atrophic foci and cause spreading
inflammation, leading to inflammatory swelling and fibrosis that can
compress large ducts. This leads to stagnation of secretory material
rich in calcium that precipitates onto degenerating cellular membranes
to form a sialolith.
Contents
Diagnostic Radiographic Imaging for Salivary Endoscopy
Kristine M. Mosier
The advent of sialoendoscopy techniques presents new challenges in the
diagnostic imaging of the salivary glands. This article reviews the different
diagnostic imaging approaches for work-up of patients before sialoendo-
scopy. The relative advantages and disadvantages of each technique and
guidelines for application of the different techniques are discussed.
Clinical Ultrasound of the Salivary Glands
Philippe Katz, Dana M. Hartl, and Agnes Guerre
Ultrasound investigation of the major salivary glands has been routinely used
for the past 25 years. Ultrasound provides an immediate diagnosis in acute
or chronic inflammatory salivary diseases and can visualize sialolithiasis as
small as 0.4 mm. Ultrasound is also an important imaging modality for sali-
vary gland tumors, guiding fine needle aspiration (FNA) for cytological diag-
nosis. It is particularly sensitive in detecting suspicious lymph nodes in the
neck and helps to guide FNA. Ultrasound is a first-line tool for diagnosis of
salivary pathology. It is simple to use, noninvasive, and well tolerated,
even in children.
949
973
Technology of Sialendoscopy
Urban W. Geisthoff
1001
Technical developments have taken place since the first endoscopes suit-
able for sialendoscopy appeared. Now, a variety of endoscopes are avail-
able. Ranging from rigid to flexible, each type has its own properties. Light
sources, imaging, recording instrumentation, and other equipment used
with the endoscopes facilitate or extend the range of their use. Experiences
using different endoscopes in more than 300 endoscopies are discussed.
Contents
Basic Sialendoscopy Techniques 1029
Urban W. Geisthoff
When basic surgical principles are followed diagnostic salivary endoscopy is
a relatively safe operative procedure. Therapeutic sialendoscopy uses such
instrumentation as lasers, forceps, baskets, and balloons for endoductal
fragmentation, retrieval, and dilatation. Based on experience acquired
from more than 300 salivary endoscopy procedures and a review of the
current literature, the most relevant operative techniques are presented.
Advanced Sialoendoscopy Techniques, Rare Findings, and Complications 1053
Oded Nahlieli
This article presents and discusses advanced minimally invasive sialoen-
doscopy and combined methods: endoscopy, endoscopic-assisted tech-
niques, and external-lithotripsy combined procedures. It also presents rare
situations and complications encountered during sialoendoscopic proce-
dures. Sialoendoscopy is a relatively novel technique, which adds signifi-
cant new dimensions to the surgeon s armamentarium for management of
inflammatory salivary gland diseases. Because of the rapid development in
minimally invasive surgical techniques, surgeons are capable of more
facilely treating complicated inflammatory and obstructive conditions of
the salivary glands.
Alternatives for the Treatment of Salivary Duct Obstruction 1073
Mark McGurk and Jackie Brown
Minimally invasive alternatives for treatment of salivary duct obstruction
are discussed. Radiologically- and endoscopically-guided interventions
using wire baskets and dilating balloons, including cutting balloons, are
covered as are combined endoscopic and open approaches.
Contents
Treatment of Juvenile Recurrent Parotitis
Philippe Katz, Dana M. Hartl, and Agnes Guerre
Juvenile recurrent parotitis (JRP) can be a debilitating illness in children.
Knowing how to recognize and diagnose it for early treatment avoids re-
currences that could lead to significant destruction of the glandular paren-
chyma. This article discusses the various therapeutic modalities proposed
in the literature (medical treatment or sialendoscopy) and describes the
authors treatment of choice of combining antibiotics and iodinated oil
sialography.
Sialendoscopy Strategies for Difficult Cases
Michael H. Fritsch
Salivary gland preservation during treatment for obstructive duct and
gland problems is a goal worth pursuing. Difficult cases may seem to be
candidates for sialadenectomy. However, progress in endoscopic and
open-surgical procedures can help the physician to find solutions that
overcome difficult problems without removing the gland. Broader applica-
tion of these sialendoscopic and open preservation procedures may be
especially useful for physicians without access to extracorporeal
lithotriptors.
1087
1093
Extracorporeal and Intracorporeal Lithotripsy of Salivary Gland Stones: Basic
Investigations
Johannes Zenk, Michael Koch, and Heinrich Iro
The traditional treatment for sialolithiasis was extirpation of the affected
gland. It is now known, however, that salivary gland function can recover
completely after stone extraction alone. Since the mid-1980s, much thought
has been given to treating sialolithiasis with extracorporeal or intracorporeal
shock waves in a manner similar to that used for urinary tract or biliary tract
stones, and this has been implemented successfully. This article provides an
overview of the various methods of extracorporeal and intracorporeal
1115
Contents
lithotripsy that have been used or proposed for salivary calculi to date, con-
sidering the advantages and disadvantages of each of the techniques.
Extracorporeal Lithotripsy Techniques for Salivary Stones 1139
Pasquale Capaccio, Sara Torretta, and Lorenzo Pignataro
Over the past 20 years, development of minimally invasive therapies has led
to the use of extracorporeal shock wave lithotripsy (ESWL) to treat salivary
stones. The two main energy sources are piezoelectric and electromagnetic
extracorporeal lithotripsy. Both have the aim of fragmenting the stones.
ESWL is considered the treatment of choice for all parotid calculi and sub-
mandibular perihilar or intraparenchymal stones of less than 7 mm. Contin-
uous ultrasonographic monitoring during the procedure reduces the number
of untoward effects. The main limitations are the need for multiple sessions
and residual stone fragments inside the duct system.
The Role of Adenectomy for Salivary Gland Obstructions in the Era of Sialendoscopy
and Lithotripsy 1161
Pasquale Capaccio, Sara Torretta, and Lorenzo Pignataro
Salivary gland ductal obstructions are common, being the most frequent
nonneoplastic salivary disorders in adults. Salivary calculi are the main
cause of obstruction. Traditional and invasive transcervical sialadenec-
tomy is still the most widely used treatment for perihilar and intraparenchy-
mal obstructive salivary diseases worldwide despite the well-known
morbidity related to its functional, neurologic, and aesthetic sequelae.
However, improved radiologic imaging, better optical systems and endo-
scopic devices, and the introduction of minimally invasive therapeutic
options have allowed the development of conservative gland-preserving
techniques for managing salivary gland obstructions, including extracor-
poreal shock wave lithotripsy, operative sialoendoscopy, video-assisted
transoral and transcervical stone removal, and ductal rehabilitation
through interventional radiology and sialoendoscopy. Through adopting
a minimally invasive and multimodal policy, a significant number (74%-
100%, technique dependent) of salivary calculi can be safely and success-
fully retrieved while leaving an intact and functional salivary gland system.
Only 2% to 5% of patients require gland excision. However, long-term
follow-up evaluations of obstructive symptom recurrence are needed
before the ultimate benefits of a gland-preserving conservative approach
and the residual role of adenectomy can be assessed.
Contents
Algorithms forTreatment of Salivary Gland Obstructions 1173
Michael Koch, Johannes Zenk, and Heinrich Iro
Treatment of obstructive diseases of the major salivary glands has under-
gone a dramatic change in the last 10 to 15 years. New minimally invasive
techniques have been developed, covering all different entities that are in-
cluded in the complex of salivary gland obstruction, and can help the physi-
cian to find the right diagnosis and an adequate treatment plan and to perform
a gland-preserving form of therapy. Sialolithiasis or stenosis is the cause of
about 90% of all obstructive salivary gland diseases. The development of ra-
diologically or fluoroscopically controlled methods, but especially the intro-
duction of sialendoscopy, has led to changes in the treatment protocol.
Knowledge from the authors experience and from a thorough investigation
of the literature has been combined to elaborate algorithms for the treatment
of the different obstructive diseases of the salivary glands. Sialoliths and ste-
noses can be successfully treated by radiologically or fluoroscopically con-
trolled or sialendoscopically based methods in approximately 80% of
cases. Extracorporeal shock-wave lithotripsy (ESWL) is successful in up to
50% of cases. Transoral duct slitting is an important method for extraparen-
chymal submandibular stones, with a success rate of 90%. Operative duct
procedures and the combined endoscopic-transcutaneous approach com-
plete the spectrum of treatment modalities of the parotid gland. Sialendo-
scopy plays a central role in the treatment of obstructive salivary gland
diseases, but maximum success can only be attained by the reasonable
combination of all these new minimally invasive techniques. Altogether, in
well over 95% of cases, resection of the gland can be prevented, thus reduc-
ing morbidity and the surgical risks for patients.
Algorithms for Treatment of Salivary Gland Obstructions Without Access
to Extracorporeal Lithotripsy 1193
Michael H. Fritsch
Algorithms for treatment of salivary stones for physicians without access
to an extracorporeal lithotriptor are proposed. Strategies for stones of
different sizes and for salivary duct stenoses and strictures are
discussed.
Contents
BONUS Article - Facial Plastic Surgery
Incisionless Otoplasty 1199
Michael H. Fritsch
Incisionless Otoplasty surgery for lop (protuberant) ears has evolved
through three major steps in technique since its inception in 1992.
Improvement was seen with each progressive technical advance. The pre-
viously published 2.0 version of 2004 has undergone evolution to stream-
line placement of the percutaneous retention sutures. The new 3.0 version
technique greatly reduces the number of operative steps required. In this
article, technical instructions for the 3.0 version are explained, and multiple
applications of the 3.0 procedure and the 2.0 are illustrated.
BONUS Article - Otology - Neurotology Surgery
Endoscopy of the Inner Ear 1209
Michael H. Fritsch
Endoscopic surgery of the inner ear may be a useful, minimally invasive
approach to remove pathologic lesions and yet retain inner ear function.
Several different endoscopic inner ear surgical entry sites and strategies
that may help to preserve otologic function are described. These endo-
scopic surgical method alternatives are based on temporal bone studies,
prior literature, and clinical patient experiences. Endoscopic inner ear sur-
gery is a challenging, but potentially very useful method to address inner
ear problems.
Index 1223
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| spelling | Sialendoscopy and lithotripsy guest ed. Michael H. Fritsch Philadelphia, Pa. Saunders 2009 XIV S., S. 915 - 1229 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Otolaryngologic clinics of North America 42,6 Endoscopy methods Lithotripsy Lithotripsy methods Salivary Calculi surgery Salivary glands Fritsch, Michael H. (DE-588)140282866 edt Otolaryngologic clinics of North America 42,6 (DE-604)BV000003387 42,6 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018859097&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Sialendoscopy and lithotripsy Otolaryngologic clinics of North America Endoscopy methods Lithotripsy Lithotripsy methods Salivary Calculi surgery Salivary glands |
| title | Sialendoscopy and lithotripsy |
| title_auth | Sialendoscopy and lithotripsy |
| title_exact_search | Sialendoscopy and lithotripsy |
| title_full | Sialendoscopy and lithotripsy guest ed. Michael H. Fritsch |
| title_fullStr | Sialendoscopy and lithotripsy guest ed. Michael H. Fritsch |
| title_full_unstemmed | Sialendoscopy and lithotripsy guest ed. Michael H. Fritsch |
| title_short | Sialendoscopy and lithotripsy |
| title_sort | sialendoscopy and lithotripsy |
| topic | Endoscopy methods Lithotripsy Lithotripsy methods Salivary Calculi surgery Salivary glands |
| topic_facet | Endoscopy methods Lithotripsy Lithotripsy methods Salivary Calculi surgery Salivary glands |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018859097&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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