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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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Published in: | Ear, nose, & throat journal nose, & throat journal, 2021-09, Vol.100 (5_suppl), p.404S-408S |
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container_end_page | 408S |
container_issue | 5_suppl |
container_start_page | 404S |
container_title | Ear, nose, & throat journal |
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creator | Chiesa-Estomba, Carlos Miguel Saga-Gutierrez, Carlos Larruscain, Ekhiñe González-García, José Ángel Sistiaga-Suarez, Jon Alexander Altuna, Xabier |
description | 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. |
doi_str_mv | 10.1177/0145561319882115 |
format | article |
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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.</description><identifier>ISSN: 0145-5613</identifier><identifier>EISSN: 1942-7522</identifier><identifier>DOI: 10.1177/0145561319882115</identifier><identifier>PMID: 31625405</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>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</subject><ispartof>Ear, nose, & throat journal, 2021-09, Vol.100 (5_suppl), p.404S-408S</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c360t-c667115f08e9c515963bff4d677aa5aa757ef1706fde662bf51385fac3fbe3de3</cites><orcidid>0000-0001-9454-9464</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0145561319882115$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0145561319882115$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,21966,27853,27924,27925,44945,45333</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31625405$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiesa-Estomba, Carlos Miguel</creatorcontrib><creatorcontrib>Saga-Gutierrez, Carlos</creatorcontrib><creatorcontrib>Larruscain, Ekhiñe</creatorcontrib><creatorcontrib>González-García, José Ángel</creatorcontrib><creatorcontrib>Sistiaga-Suarez, Jon Alexander</creatorcontrib><creatorcontrib>Altuna, Xabier</creatorcontrib><title>A Pilot Study to Assess the Sialendoscopy-Assisted Transfacial Approach in Parotid Gland Sialolithiasis</title><title>Ear, nose, & throat journal</title><addtitle>Ear Nose Throat J</addtitle><description>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.</description><subject>Calcification</subject><subject>Electric Stimulation Therapy</subject><subject>Endoscopy - methods</subject><subject>Exocrine glands</subject><subject>Face - innervation</subject><subject>Face - surgery</subject><subject>Facial Nerve - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Maxillofacial surgery</subject><subject>Middle Aged</subject><subject>Otolaryngology</subject><subject>Parotid Diseases - surgery</subject><subject>Parotid Gland - pathology</subject><subject>Parotid Gland - surgery</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><subject>Salivary Gland Calculi - surgery</subject><subject>Treatment Outcome</subject><issn>0145-5613</issn><issn>1942-7522</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><recordid>eNp1kc1LAzEUxIMotn7cPUnAi5fVvGSTbI-laBUKCq3nJd0kbcp2UzfZQ_97U1sVCp4Cmd9M5uUhdAPkAUDKRwI55wIYDIqCAvAT1IdBTjPJKT1F_Z2c7fQeughhRUi6EHCOegwE5TnhfbQY4ndX-4insdNbHD0ehmBCwHFp8NSp2jTah8pvtlkSXIhG41mrmmBVlVQ83Gxar6oldg1-V62PTuNxrRr9bfa1i0unku8KnVlVB3N9OC_Rx_PTbPSSTd7Gr6PhJKuYIDGrhJBpDksKM6g48IFgc2tzLaRUiisluTQWJBFWGyHo3HJgBU9dmJ0bpg27RPf73FTrszMhlmsXKlOnSsZ3oaSMSOAshyKhd0foyndtk9qVlAtGC1ZIkiiyp6rWh9AaW25at1bttgRS7pZQHi8hWW4Pwd18bfSv4efXE5DtgaAW5u_VfwO_ACw7jmU</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Chiesa-Estomba, Carlos Miguel</creator><creator>Saga-Gutierrez, Carlos</creator><creator>Larruscain, Ekhiñe</creator><creator>González-García, José Ángel</creator><creator>Sistiaga-Suarez, Jon Alexander</creator><creator>Altuna, Xabier</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9454-9464</orcidid></search><sort><creationdate>202109</creationdate><title>A Pilot Study to Assess the Sialendoscopy-Assisted Transfacial Approach in Parotid Gland Sialolithiasis</title><author>Chiesa-Estomba, Carlos Miguel ; Saga-Gutierrez, Carlos ; Larruscain, Ekhiñe ; González-García, José Ángel ; Sistiaga-Suarez, Jon Alexander ; Altuna, Xabier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-c667115f08e9c515963bff4d677aa5aa757ef1706fde662bf51385fac3fbe3de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Calcification</topic><topic>Electric Stimulation Therapy</topic><topic>Endoscopy - methods</topic><topic>Exocrine glands</topic><topic>Face - innervation</topic><topic>Face - surgery</topic><topic>Facial Nerve - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Maxillofacial surgery</topic><topic>Middle Aged</topic><topic>Otolaryngology</topic><topic>Parotid Diseases - surgery</topic><topic>Parotid Gland - pathology</topic><topic>Parotid Gland - surgery</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><topic>Salivary Gland Calculi - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiesa-Estomba, Carlos Miguel</creatorcontrib><creatorcontrib>Saga-Gutierrez, Carlos</creatorcontrib><creatorcontrib>Larruscain, Ekhiñe</creatorcontrib><creatorcontrib>González-García, José Ángel</creatorcontrib><creatorcontrib>Sistiaga-Suarez, Jon Alexander</creatorcontrib><creatorcontrib>Altuna, Xabier</creatorcontrib><collection>SAGE Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Ear, nose, & throat journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiesa-Estomba, Carlos Miguel</au><au>Saga-Gutierrez, Carlos</au><au>Larruscain, Ekhiñe</au><au>González-García, José Ángel</au><au>Sistiaga-Suarez, Jon Alexander</au><au>Altuna, Xabier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Pilot Study to Assess the Sialendoscopy-Assisted Transfacial Approach in Parotid Gland Sialolithiasis</atitle><jtitle>Ear, nose, & throat journal</jtitle><addtitle>Ear Nose Throat J</addtitle><date>2021-09</date><risdate>2021</risdate><volume>100</volume><issue>5_suppl</issue><spage>404S</spage><epage>408S</epage><pages>404S-408S</pages><issn>0145-5613</issn><eissn>1942-7522</eissn><abstract>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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>31625405</pmid><doi>10.1177/0145561319882115</doi><orcidid>https://orcid.org/0000-0001-9454-9464</orcidid><oa>free_for_read</oa></addata></record> |
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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 |
title | A Pilot Study to Assess the Sialendoscopy-Assisted Transfacial Approach in Parotid Gland Sialolithiasis |
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