Sialendoscopy-assisted transfacial surgery for the removal of an iatrogenic foreign body in Stensen's duct

a stone and broken wire basket

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)501-505
Number of pages5
JournalJournal of Laryngology and Otology
Volume130
Issue number5
DOIs
Publication statusPublished - 2016

Fingerprint

Salivary Ducts
Foreign Bodies
Sialadenitis
Rupture
Endoscopes
Parotid Gland
Endoscopy
Anatomy
Equipment and Supplies

Keywords

  • Endoscopy
  • Foreign Body
  • Parotid Gland
  • Salivary Ducts
  • Video-Assisted Surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

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title = "Sialendoscopy-assisted transfacial surgery for the removal of an iatrogenic foreign body in Stensen's duct: a stone and broken wire basket",
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.",
keywords = "Endoscopy, Foreign Body, Parotid Gland, Salivary Ducts, Video-Assisted Surgery",
author = "P. Capaccio and M. Gaffuri and S. Torretta and L. Pignataro",
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language = "English",
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T1 - Sialendoscopy-assisted transfacial surgery for the removal of an iatrogenic foreign body in Stensen's duct

T2 - a stone and broken wire basket

AU - Capaccio, P.

AU - Gaffuri, M.

AU - Torretta, S.

AU - Pignataro, L.

PY - 2016

Y1 - 2016

N2 - 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.

AB - 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.

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