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“How i do it”—head and neck and plastic surgery: A targeted problem and its solution custom‐made nasopharyngeal airway
Author(s) -
Galvis Antonio G.,
Storgion Stephanie A.
Publication year - 1987
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 - 10.1288/00005537-198712000-00017
Subject(s) - boulevard , medicine , library science , pediatrics , humanities , history , art , computer science , archaeology
The classic attitude toward sialolithiasis is an antibiotic and anti-inflammatory treatment, hoping for a spontaneous stone expression through the papilla. In cases of submandibular stones located close to the opening of Wharton’s duct, a marsupialization of the papilla is performed and the stone removed. In cases of parotid stones, a conservative approach is adopted whenever possible, because parotidectomies for infectious conditions are associated with a higher incidence of facial nerve complications.1,2 Nevertheless, in case of recurrent infections, and of posteriorly located stones, parotidectomy was the only option. Because of the morbidity of both operations, the surgeon and, more often, the patients are reluctant to proceed to surgery. However, a longer delay before definitive treatment leads to stone enlargement and fibrosis of the gland and therefore greater surgical risk. The first reports of a distal submandibular stone extraction were published by radiologists in the early 1990s: the procedure was performed with a wire basket.3,4 The first parotid stone extraction was performed in 1994 by Sharma et al.5 In both cases the stone was extracted blindly. We report on a new, minimally invasive technique of salivary duct exploration and treatment under direct endoscopic control. Sialendoscopy aims to visualize the lumen of the salivary ducts and their diseases. Interventional sialendoscopy aims to treat salivary ductal diseases, mainly removing salivary stones.