A Pilot Study to Assess the Sialendoscopy-Assisted Transfacial Approach in Parotid Gland Sialolithiasis

Introduction: Twenty percent of the total lithiasis that affect a major salivary gland will be found in the parotid gland. An exclusive sialoendoscopic approach has achieved success rates close to 80%. In a significant percentage of these remaining cases, combined transfacial approaches assisted by...

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Bibliographic Details
Published in:Ear, nose, & throat journal nose, & throat journal, 2021-09, Vol.100 (5_suppl), p.404S-408S
Main Authors: Chiesa-Estomba, Carlos Miguel, Saga-Gutierrez, Carlos, Larruscain, Ekhiñe, González-García, José Ángel, Sistiaga-Suarez, Jon Alexander, Altuna, Xabier
Format: Article
Language:English
Subjects:
Calcification
Electric Stimulation Therapy
Endoscopy - methods
Exocrine glands
Face - innervation
Face - surgery
Facial Nerve - surgery
Female
Humans
Male
Maxillofacial surgery
Middle Aged
Otolaryngology
Parotid Diseases - surgery
Parotid Gland - pathology
Parotid Gland - surgery
Pilot Projects
Prospective Studies
Salivary Gland Calculi - surgery
Treatment Outcome
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Summary:Introduction: Twenty percent of the total lithiasis that affect a major salivary gland will be found in the parotid gland. An exclusive sialoendoscopic approach has achieved success rates close to 80%. In a significant percentage of these remaining cases, combined transfacial approaches assisted by sialendoscopy are presented as an option to be taken into account. Patients and Methods: A prospective analysis of cases treated by combined transfacial approach assisted by sialendoscopy for lithiasis of the parotid gland and the impact of the facial nerve stimulator used during surgery. Results: Five patients were included; all of them operated satisfactorily. In 4 of them, the approach proposed by McGurk and modified by Capaccio was used, and in 1 of them, the approach proposed by Nahlieli was used. We suffered a complication in just case due to the appearance of postoperative sialocele. Conclusion: According to our results and those previously published, the transfacial approach assisted by sialendoscopy can be considered a useful technique. Proper planning ensures an optimal result in the treatment of parotid gland lithiasis. The use of facial nerve stimulator guarantees extra security when working near to a branch of the facial nerve is suspected.
ISSN:0145-5613
1942-7522
DOI:10.1177/0145561319882115