Sialendoscopy-assisted transfacial surgery for the removal of an iatrogenic foreign body in Stensen's duct: a stone and broken wire basket. Issue 5 (10th February 2016)

• Record Type: Journal Article
• Authors: Capaccio, P; Gaffuri, M; Torretta, S; Pignataro, L
• Is Part Of: Journal of laryngology & otology. Volume 130:Issue 5(2016)
• Page Start: 501
• Page End: 505
• Publication Date: 2016-02-10
• Subjects: Parotid Gland, -- Salivary Ducts, -- Foreign Body, -- Endoscopy, -- Video-Assisted Surgery; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215116000177
• Languages: English
• ISSNs: 0022-2151

Abstract

Abstract: Background: A foreign body is a rare cause of parotid gland obstructive sialadenitis; intra-oral penetration via Stensen's duct is unusual. The relatively recent introduction of interventional sialendoscopy to treat obstructive sialadenitis has allowed surgeons to adopt a gland-sparing approach by means of miniaturised endoscopes and instruments. However, unusual anatomy or pathological conditions can give rise to a risk of intraductal rupture that may lead to a subsequent iatrogenic foreign body. Case report: This paper describes the case of a patient with a 4 mm stone engaged by a broken wire basket stuck in a secondary branch of Stensen's duct. Results: The iatrogenic foreign body was successfully retrieved by means of sialendoscopy-assisted transfacial surgery. Conclusion: This is the first reported case of an intraductal rupture of a miniaturised device during interventional sialendoscopy successfully resolved by means of combined endoscopy and external surgery. This proved to be an effective method of rescuing a foreign body stuck in Stensen's duct.