Combined endoscopic and transcutaneous approach for immobile parotid stones.

Abstract:

CONCLUSION:Salivary stones in the parotid gland that are not amenable to endoscopic extraction can safely be removed by a combined, endoscopic-external approach. OBJECTIVE:Limitations for endoscopic removability of salivary stones from the parotid gland are immobile stones in the deeper salivary duct system. A combined endoscopic and transcutaneous approach gives access to these stones with possible preservation of the parotid gland. METHODS:A total of 10 consecutive patients were treated using the combined approach for the management of sialolithiasis of the parotid gland. The patients had previously undergone a sialendoscopy under local anesthesia and were proven to have large, immobile salivary stones in the salivary duct. RESULTS:In all patients, the procedure was successfully conducted with extraction of impacted stones. In 60% of the patients, a temporary stenting of the salivary duct was performed. All patients showed good clinical results with restored drainage of the salivary duct system and preserved gland function.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Mikolajczak S,Bremke M,Beutner D,Luers JC

doi

10.3109/00016489.2014.953204

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

85-9

issue

1

eissn

0001-6489

issn

1651-2251

journal_volume

135

pub_type

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