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Minimally-invasive surgery in the management of symptomatic parotid stones
- Source :
- The British journal of oralmaxillofacial surgery. 54(4)
- Publication Year :
- 2015
-
Abstract
- Traditionally, large, symptomatic, parotid stones that were refractory to conservative treatment were usually managed by parotidectomy, with the attendant risk to the facial nerve. Microendoscopes have transformed the management of such stones. For large stones that are not amenable to retrieval with a basket the endoscope provides a new dimension to operative surgery. It can guide the surgeon on to the duct and stone without the need to remove the parotid gland. In 2005-2014, 111 consecutive patients underwent endoscopically-assisted operations for the removal of 132 parotid stones at Guy's Hospital. Removal was successful in all but three cases. Long-term follow up (mean (SD) 44 (30) months) was obtained by postal or online survey and telephone, and 92 patients (83%) said that they had no symptoms. Further endoscope-assisted surgery was required in four cases, with preservation of the gland in all patients. Sialocoeles developed postoperatively in 15% (n=17). Transient facial nerve weakness occurred in 4 cases (4%), and there was no case of permanent deficit. Endoscopically-assisted retrieval of parotid stones is a technique to preserve the gland that adds to the current minimally-invasive options for management of parotid calculi.
- Subjects :
- medicine.medical_specialty
Endoscope
Facial nerve weakness
03 medical and health sciences
0302 clinical medicine
stomatognathic system
medicine
Humans
Minimally Invasive Surgical Procedures
Parotid Gland
030223 otorhinolaryngology
Salivary Gland Calculi
medicine.diagnostic_test
business.industry
General surgery
Endoscopy
030206 dentistry
Parotidectomy
Facial nerve
Parotid gland
Surgery
medicine.anatomical_structure
Otorhinolaryngology
Invasive surgery
Parotid Diseases
Oral Surgery
business
Subjects
Details
- ISSN :
- 15321940 and 20052014
- Volume :
- 54
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The British journal of oralmaxillofacial surgery
- Accession number :
- edsair.doi.dedup.....b9474980dea45c0e974ae1cfb31cd22b