Objectifs: La sialolithiase est une pathologie relativement fréquente en ORL, qui conduit parfois à la résection de la glande salivaire. Nous décrivons une nouvelle approche thérapeutique de la sialolithiase, réalisée sous anesthésie locale, en ambulatoire. Patients et méthodes: Entre mai 1997 et juillet 1998, 21 patients ont été opérés selon la technique suivante: endoscopie du canal, localisation du calcul et extraction du calcul sous contrôle endoscopique à l’aide d’une sonde de Dormia, avec éventuelle fragmentation préalable par lithotripsie intracanalaire. Résultats et conclusions: Dans trois quarts des cas, l’extraction du calcul in toto a été possible et les patients ont été guéris de leur symptomatologie, avec un recul moyen de 5,7 mois. Il n’y a pas eu de complications notables, ni per- ni postopératoires. De nouveaux développements devraient permettre dans un proche avenir d’améliorer encore les résultats.

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