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Combined endoscopic and transcutaneous approach for immobile parotid stones
Stefanie Mikolajczak1, Martin Bremke, Dirk Beutner
1Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne , Cologne , Germany.
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.
