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. 2012 Sep;64(3):252-6.
doi: 10.1007/s12070-011-0361-0. Epub 2011 Nov 30.

Interventional sialendoscopy for parotid ductal calculi: our preliminary experience

P P Singh  1 , Neelima Gupta, Arun Goyal, Sanjeev Tomar
Affiliations

Interventional sialendoscopy for parotid ductal calculi: our preliminary experience

P P Singh et al. Indian J Otolaryngol Head Neck Surg. 2012 Sep.

Abstract

With this article we present our initial experience with interventional sialendoscopy of the parotid duct for the parotid calculi. We carried out a prospective study of patients of parotid calculi in a tertiary referral centre. Diagnostic and interventional sialendoscopy was performed in five cases of parotid calculi. The outcome was classified on the basis of clearance of the lumen of the duct and resolution of symptoms. Diagnostic sialendoscopy was able to diagnose the calculus in all cases. Interventional sialendoscopy was done under general anesthesia in all cases and calculus was successfully removed. The average size of sialolith was 8.2 mm. No complications occurred in any of the cases. Check sialendoscopy was done in all cases after a minimum follow up of 6 months, which showed the duct lumen to be free of stone with no stricture of the duct. Sialendoscopy is an optimal technique for removal of intraductal parotid calculi and avoids removal of the gland. In our series there was no associated morbidity and complication.

Keywords: Parotid stones; Salivary gland; Sialendoscopy.

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Figures

Fig. 1
Fig. 1
Endoscopic view of calculus in parotid duct
Fig. 2
Fig. 2
CT scan axial cut showing hyperdense shadow (calculus) in the intrabuccal portion of the left parotid duct
Fig. 3
Fig. 3
CT scan axial cut showing calculus in the right parotid duct
Fig. 4
Fig. 4
The lighted area shows the site of incision for combined approach removal of the calculus from right parotid duct
Fig. 5
Fig. 5
The calculus is visible after the duct has been opened
Fig. 6
Fig. 6
CT scan axial cut showing calculus in the main duct on the left side
Fig. 7
Fig. 7
MR sialography showing calculus with left parotid ductal dilatation
Fig. 8
Fig. 8
CT scan axial cut showing calculus at the masseteric bend of the right parotid duct
See this image and copyright information in PMC

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