علاج تحصي الغدة اللعابية تحت اللسان في تحصي الغدة النكفية مع الحصاة في الحليمة أو القناة الإخراجية البعيدة

Stones in the Papilla and Distal Excretory Duct

Mobile stones not exceeding 3–5 mm in size are an ideal indication for extraction with intSE using instruments such as a basket or forceps, if necessary after application of ISWL.

Endoscopic mobilization or fragmentation is indicated for stones 5–7 mm in size.

If the stones have a weak consistency, mechanical fragmentation using microdrills is a possible solution in some cases.

However, in general, in particular if the stones are of a hard consistency and/or are greater than 7 mm, ISWL represents an excellent treatment modality with high success rates.

DOI: 10.3390/jcm11010231