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Surgeon‐performed ultrasound and transfacial sialoendoscopy for complete parotid duct stenosis
Author(s) -
Ryan William R.,
Chang Jolie L.,
Eisele David W.
Publication year - 2014
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.23968
Subject(s) - medicine , stenosis , parotid duct , radiology , surgery , duct (anatomy) , ultrasound , stent , sialadenitis , salivary gland , pathology
A 57‐year‐old man presented with a 16‐month history of right parotid swelling since undergoing a transoral sialolithotomy of the parotid duct. An ultrasound and a computed tomography scan showed a 6 cm‐long dilated parotid duct without evidence of sialolithiasis or tumor mass. The complete Stensen's duct stenosis that was found was managed by a surgeon‐performed ultrasound‐guided transfacial needle catheterization of the dilated parotid duct, anterograde sialoendoscopy, recanalization of the duct, and stent placement. At 15 month follow‐up, the patient reported no recurrent facial swelling or discomfort. Surgeon‐performed ultrasound, combined with sialoendoscopy, can provide unique advantages for managing parotid duct stenosis and obstructive sialadenitis. Laryngoscope , 124:418–420, 2014