{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:28:48Z","timestamp":1761006528013,"version":"build-2065373602"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,26]],"date-time":"2025-01-26T00:00:00Z","timestamp":1737849600000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to evaluate the clinical efficacy of electro\u2010pneumatic intracorporeal lithotripsy for the treatment of salivary gland stones.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A prospective cohort study of patients diagnosed with obstructive salivary gland syndrome, where basket\u2010assisted sialendoscopy alone failed to remove the calculi.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>This study was conducted at the \u201cQueen Maria\u201d Military Hospital in Bra\u0219ov, Romania, and a private practice, between February 2023 and May 2024.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 29 patients with salivary calculi were treated using the SialoLither device (Hidromed), which operates on the electro\u2010pneumatic principle. The number of sessions required for complete stone removal, the duration of each session, and the number of ballistic impulses applied were recorded. Statistical analyses, including the Mann\u2010Whitney <jats:italic>U<\/jats:italic> test and multiple linear regression, were conducted to assess the relationship between stone size, location, and treatment outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Complete removal was achieved in 72.4% of patients after a single session, with 100% success after 3 sessions. The average number of impulses was 13.9 (\u00b14.25), with no significant difference in outcomes between the parotid and submandibular glands (<jats:italic>P<\/jats:italic>\u2009&gt;\u2009.05). The total duration varied, with a mean time of 89.97 (\u00b154.89) minutes. Complications were minimal, with only 2 cases of minor epithelial damage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Electro\u2010pneumatic intracorporeal lithotripsy is a highly effective, minimally invasive technique for managing salivary calculi, offering a safe and efficient alternative to traditional surgical methods.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oto2.70080","type":"journal-article","created":{"date-parts":[[2025,1,26]],"date-time":"2025-01-26T06:52:03Z","timestamp":1737874323000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Efficacy and Outcomes of Electro\u2010Pneumatic Intracorporeal Lithotripsy in the Management of Sialolithiasis"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6366-2245","authenticated-orcid":false,"given":"Iulian","family":"Filipov","sequence":"first","affiliation":[{"name":"Doctoral School 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