Sialolithiasis is the cause of about 60%-70% of obstructive salivary gland diseases, and it is found in the submandibular gland by approximately 80%. Using sialendoscopy, stones under the size of 4 mm in the wharton’s or stenon’s ducts may be caught and extracted by baskets or other tools by approximately 80%. However, the stones of this size constitute 15% to 20% of all cases. It is possible to use sialendoscopy or combined approaches to extract stones that are larger after breaking them up and separating them into smaller particles. In this presentation, the speaker aimed to explain the indications, treatment outcomes and reliability levels of the intraductal pneumatic lithotripsy (IPL) and holmium laser-assisted lithotripsy (HLL) methods that are used to sialendoscopically separate stones into smaller pieces in salivary gland sialolithiasis patients. And also, the speaker will present the personal experience about the topic and will describe the advantages and disadvantages of these two techniques in salivary gland stones.

Sialendoscopy relies on delicate and costly endoscopes and micro-instruments that require appropriate handling, cleaning, sterilization and maintenance. This seminar will provide a practical overview of how to safely handle sialendoscopes and related instruments before, during and after procedures. Particular attention will be given to prevention of scope and instrument damage, appropriate cleaning and sterilization protocols, maintenance, troubleshooting, and common errors encountered in daily practice. The session will combine clinical and technical perspectives to provide practical recommendations for prolonging instrument life while maintaining patient safety.