Trevor Hackman
Dr Hackman serves as a Distinguished Professor of Head and Neck Surgery at the University of North Carolina and Vice Chair of Inpatient Operations and Quality, as well as Chair of the Patient Care Section for the American Head and Neck Society, and member of the Executive Committee for the Salivary Gland Section of AHNS. He has over 15 years of experience with risk adaptive neoadjuvant therapy prior to surgery for mucosal head and neck cancer, and also pioneers the largest volume in-office sialendoscopy practice in the US.
Sessions
Description This “How I Do It” presentation demonstrates my approach to the intraductal treatment of salivary stones using pneumatic lithotripsy. The technique is presented step by step, including endoscopic identification of the stone, positioning and application of the pneumatic probe, fragmentation under direct vision, and removal of the resulting fragments. Procedural videos illustrate the technique and its practical application in routine sialendoscopic stone treatment.
Background Sialendoscopy has enabled the treatment of many salivary stones through a minimally invasive, gland-preserving approach. Stones that cannot be removed intact may require intraductal fragmentation. Pneumatic lithotripsy provides mechanical fragmentation under direct endoscopic control and has been my principal method of intraductal lithotripsy since 2007.
Outcome Objectives Participants will become familiar with the principles and practical steps of intraductal pneumatic lithotripsy, including probe positioning, controlled fragmentation, and endoscopic removal of stone fragments. They will also gain an understanding of how pneumatic lithotripsy can be integrated into routine sialendoscopic management of salivary stones.