Combined endoscopic and transcutaneous approach for immobile parotid stones. (January 2014)

• Record Type: Journal Article
• Authors: Mikolajczak, Stefanie; Bremke, Martin; Beutner, Dirk; Luers, Jan Christoffer
• Is Part Of: Acta oto-laryngologica. Volume 135:Number 1(2015)
• Page Start: 85
• Page End: 89
• Publication Date: 2014-01
• Subjects: Otolaryngology -- Periodicals; Ear -- Diseases -- Periodicals; Throat -- Diseases -- Periodicals; Otolaryngology -- Electronic Resources; Otorhinolaryngologic Diseases; 617.8
• DOI: 10.3109/00016489.2014.953204
• Languages: English
• ISSNs: 0001-6489

Abstract

<abstract> <title>Abstract</title> <p> <italic>Conclusion:</italic> Salivary stones in the parotid gland that are not amenable to endoscopic extraction can safely be removed by a combined, endoscopic-external approach. <italic>Objective:</italic> 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. <italic>Methods:</italic> 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. <italic>Results:</italic> 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.</p> </abstract>