Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-18T07:38:32.615Z Has data issue: false hasContentIssue false
  • English
  • Français

Pulsed dye laser lithotripsy of submandibular gland salivary calculus

Published online by Cambridge University Press:  29 June 2007

Hirotaka Ito  and
Shunkichi Baba
Hirotaka Ito*
Affiliation:
Department of Otorhinolaryngology, Nagoya City University, Medical School, Nagoya, Japan.
Shunkichi Baba*
Affiliation:
Department of Otorhinolaryngology, Nagoya City University, Medical School, Nagoya, Japan.
*
Address for correspondence: Department of Otorhinolaryngology, Nagoya City University, Medical School, No. 1 Kawasumi, Mizuhocho, Mizuhoku, Nagoya, Japan 467 Fax: 52-851-5300
Address for correspondence: Department of Otorhinolaryngology, Nagoya City University, Medical School, No. 1 Kawasumi, Mizuhocho, Mizuhoku, Nagoya, Japan 467 Fax: 52-851-5300
Get access Rights & Permissions [Opens in a new window]

Abstract

An in vivo study was performed to evaluate the use of pulsed-dye laser beam for the fragmentation of salivary calculus. In accordance with the absorption and reflection spectra of sections of salivary stones, optimal fragmentation was achieved with a pulsed-dye laser with a pulse width of 1.4 μm and tuned to a wavelength of 504 nm. Further studies on particle size were conducted, and a new “sialoendoscope” technique was developed. Fifteen patients with sialolithiasis of the submandibular gland were treated. Under continuous endoscopic monitoring laser-induced shock wave lithotripsy was performed. In six patients complete fragmentation and removal of the salivary stones was achieved and in another patient 50 per cent fragmentation was sufficient to restore salivary flow. Laser lithotripsy of salivary stones with endoscopic monitoring permits treatment on an outpatient basis with little inconvenience to the patient, and this is a breakthrough in otolaryngology.

Keywords

Salivary gland calculiLaser, pulsed-dyeSubmandibular salivary gland
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 10 , October 1996 , pp. 942 - 946
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Delius, M., Jordan, M., Eizenhofer, H., Marlinghaus, E., Heine, G., Liebich, H. G. (1989) Biological effects of shock waves: kidney hemorrhage by shock waves in dogs administration rate dependence. Ultrasound in Medicine and Biology 14: 689–694.CrossRefGoogle Scholar
Dretler, S. P., Watson, G., Parrish, J. A., Murray, S. (1987) Pulsed dye laser fragmentation of ureteral calculi initial clinical experience. Journal of Urology 137: 386–389.CrossRefGoogle ScholarPubMed
Gundlach, P., Scherer, H., Hopf, J., Leege, N., Muller, G., Hirst, L., Scholz, C. (1990) Die endoskopisch kontrollierte Laserlithotripsie von Speichelsteinen. H.N.O. 38: 247–250.Google Scholar
Iro, H., Schneider, T., Nitshe, N., Waitz, G., Ell, C. (1990) Extrakorporale piezoelek trishe Lithotripsie von speichelsteinen. H.N.O. 38: 251–255.Google Scholar
Königsberger, R., Feyh, J., Goetz, A., Kastenbauer, E. (1993) Endoscopically-controlled electrohydraulic intracorporeal shock wave lithotripsy (EISL) of salivary stones. Journal of Otolaryngology 22: 12–13.Google ScholarPubMed
Kishimoto, T., Yamamoto, K., Sugisoto, T., Yoshihara, H., Maekawa, M. (1986) Side effect of extracorporeal shock wave exposure in patients treated by extracorporeal shock wave lithotripsy for upper urinary tract stone. European Urology 12: 308–313.CrossRefGoogle ScholarPubMed
Pensel, J., Frank, F., Rothenberger, K., Hofstetter, A., Unsold, E. (1981) Destruction of urinary calculi by neodymium-YAG laser irradiation. In Proceedings of Fourth International Symposium on Laser Surgery. Vol 10 (Kaplan, I.eds.), Academic, Jerussalem, pp 4–6.Google Scholar
Rice, D. H. (1993) Diseases of the salivary gland. In Head and Neck Surgery–Otolaryngology. (Byron, J. B., Harold, C. P., eds.). J. B. Lippincot Company, Philadelphia, Pennsylvania, pp 475–484.Google Scholar
Vandeursen, H., Pittomvils, G., Boving, R., Baert, L. (1991) High energy pulsed dye laser lithotripsy: Management of ureteral calcium oxalate monohydrate calculi. Journal of Urology 145: 1146–1150.CrossRefGoogle ScholarPubMed
Watson, G. M., Wickham, J. E. A. (1989) The development of a laser and a miniaturised ureteroscope system for ureteric stone management. World Journal of Urology 7:147–150.CrossRefGoogle Scholar