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The authors with the goal of postoperative dynamic control over the results of surgical treatment of patients previously operated for salivary stone disease and various ducts deformations of the parotid salivary glands examined 16 patients with an observation period up to 8 years. It was found that recurrent acute parotitis or recurrence of stone formation was observed in 100% of cases. The authors developed methods of surgical treatment leads to long-term clinical success with no recurrence of the disease.

A new method for the treatment of chronic sialodochitis and sialolithiasis is suggested for cases with essential dilatation of the duct in the intraglandular compartment of the parotid gland: the external wall of dilated duct is dissected and the two resultant parts are twisted inside and sutured to the internal wall of the dilated duct; the parotid duct is ligated at the site of its exit from the gland.

A new method for plasty of the parotid duct with its appreciable dilatation is proposed. A semioval flap is cut from the wall of a dilated duct and sutured to the buccal mucosa. A proper opening of the parotid duct is thus created and injuries to facial nerve branches during surgery are prevented.