Sialendoscopy-assisted transfacial surgical removal of parotid stones

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Minimally invasive surgical approaches to parotid stones (such as extra-corporeal shockwave lithotripsy and sialendoscopy) have proved to be effective in a high percentage of cases, although success depends on factors such as the localisation of the stone, its size and its mobility. The failure rate of 10% is largely due to large and impacted stones and, in such cases, a combined external and sialendoscopic approach can be used to avoid morbidity and the risks of more invasive superficial parotidectomy. We treated eight patients with large parotid stones (>7 mm) using a sialendoscopy-assisted transfacial surgical approach that was effective in all but one case, which was successfully solved by combining this procedure with extra-corporeal lithotripsy and operative sialendoscopy. Our results confirm that the combined approach is a valid alternative to parotidectomy for large parotid stones and should be added to other minimally invasive techniques aimed at restoring the function of the affected parotid gland.

Original languageEnglish
Pages (from-to)1964-1969
Number of pages6
JournalJournal of Cranio-Maxillofacial Surgery
Issue number8
Publication statusPublished - Dec 1 2014


  • Endoscopy assisted
  • Minimally invasive technique
  • Parotid stones
  • Sialolithiasis

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery


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