Endoscopically assisted operative retrieval of parotid stones

Outcome after endoscopically assisted surgical retrieval of symptomatic parotid stones

“…Five series with a combined total of 135 patients have been published with success rates for stone removal ranging from 75% to 100% 7,8,10,12,14 . Combined approaches (surgical and endoscopic) were used in all studies with either transcutaneous or pre-auricular incisions employed to access the duct and remove the stone.…”

“…It involved identification of the stone with plain radiography and ultrasound before a direct incision in the cheek to remove it. NAHIELI et al 14 and MCGURK et al 12 have since described modifications of this approach that use sialoendoscopy to more accurately locate the stone. In the latter technique, a preauricular incision then follows (avoiding a direct one) and a skin flap is raised until anterior to the stone.…”

Minimal surgery for parotid stones: a 7-year endoscopic experience

“…Large or fixed stones that are unresponsive to lithotripsy are candidates for minimally invasive surgery. 1,7 This represents only 10% of symptomatic salivary calculi. In the absence of a lithotripter, all stones >5 mm in diameter can be considered for endoscope-assisted surgical retrieval.…”

Retrospective Analysis of a Combined Endoscopic and Transcutaneous Technique for the Management of Parotid Salivary Gland Stones

“…Once the stone has been extracted, the duct should be re-examined to exclude the presence of multiple stones in the area and duct system. According to the literature, 75-100% of all patients with parotid gland sialolithiasis can be treated with a combined approach [9,10,12,15]. The size of the stones in the studies has been between 5.5 and 22 mm [9,12].…”

“…According to the literature, this technique was first used in 1991, when a stone was located with the help of ultrasound and extracted through a small cutaneous incision [11]. The technique was later modified, and the light of the endoscope was used as transillumination to locate stones; a classic parotid incision was then made, and the stones were extracted through the duct with open access [12]. The aim of the present study was a retrospective analysis of the patients who underwent the combined approach to parotid gland stone extraction at our department.…”