Skip to main content

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
Cancel
×
×
Home
  • Home
Article

Sialendoscopy-assisted transfacial surgery for the removal of an iatrogenic foreign body in Stensen's duct: a stone and broken wire basket

  • P Capaccio (a1) (a2), M Gaffuri (a1) (a3), S Torretta (a1) (a3) and L Pignataro (a1) (a3)
Abstract
Background:

A foreign body is a rare cause of parotid gland obstructive sialadenitis; intra-oral penetration via Stensen's duct is unusual. The relatively recent introduction of interventional sialendoscopy to treat obstructive sialadenitis has allowed surgeons to adopt a gland-sparing approach by means of miniaturised endoscopes and instruments. However, unusual anatomy or pathological conditions can give rise to a risk of intraductal rupture that may lead to a subsequent iatrogenic foreign body.

 Case report:

This paper describes the case of a patient with a 4 mm stone engaged by a broken wire basket stuck in a secondary branch of Stensen's duct.

 Results:

The iatrogenic foreign body was successfully retrieved by means of sialendoscopy-assisted transfacial surgery.

 Conclusion:

This is the first reported case of an intraductal rupture of a miniaturised device during interventional sialendoscopy successfully resolved by means of combined endoscopy and external surgery. This proved to be an effective method of rescuing a foreign body stuck in Stensen's duct.
Copyright
COPYRIGHT: © JLO (1984) Limited 2016 
Corresponding author
Address for correspondence: Dr Michele Gaffuri, Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F Sforza 35, 20122 Milano, Italy Fax: +39 025 5038892 E-mail: michele.gaffuri@unimi.it
References
Hide All
1 Cembranos, JL, Búa, JA, Amezaga, JA, Zuazua, JS. An unusual intraparotid foreign body simulating a tumour: shrapnel from the Spanish Civil War. Int J Oral Maxillofac Surg 2011;40:880–3
2 Su, YX, Lao, XM, Zheng, GS, Liang, LZ, Huang, XH, Liao, GQ. Sialoendoscopic management of submandibular gland obstruction caused by intraglandular foreign body. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;114:e17–21
3 Levine, G, Clark, M, Mandel, L. Obstructive parotitis from extraorally introduced foreign body in the Stensen duct. J Oral Maxillofac Surg 2013;71:2087–91
4 Yamano, Y, Uzawa, K, Ito, H, Tanzawa, H. Endoscopically assisted removal of a fish bone penetrating the parotid duct: an unusual case. J Oral Maxillofac Surg 2014;72:1343–9
5 Gillespie, MB, Koch, M, Iro, H, Zenk, J. Endoscopic-assisted gland-preserving therapy for chronic sialadenitis: a German and US comparison. Arch Otolaryngol Head Neck Surg 2011;37:903–8
6 Overton, A, Combes, J, McGurk, M. Outcome after endoscopically assisted surgical retrieval of symptomatic parotid stones. Int J Oral Maxillofac Surg 2012;41:248–51
7 Walvekar, RR, Razfar, A, Carrau, RL, Schaitkin, B. Sialendoscopy and associated complications: a preliminary experience. Laryngoscope 2008;118:776–9
8 Capaccio, P, Gaffuri, M, Pignataro, L. Sialendoscopy-assisted transfacial surgical removal of parotid stones. J Craniomaxillofac Surg 2014;42:1964–9
9 Koch, M, Iro, H, Zenk, J. Combined endoscopic-transcutaneous surgery in parotid gland sialolithiasis and other ductal diseases: reporting medium- to long-term objective and patients' subjective outcomes. Eur Arch Otorhinolaryngol 2013;270:1933–40
10 McGurk, M, MacBean, AD, Fan, KF, Sproat, C, Darwish, C. Endoscopically assisted operative retrieval of parotid stones. Br J Oral Maxillofac Surg 2006;44:157–60
11 Koch, M, Zenk, J, Bozzato, A, Bumm, K, Iro, H. Sialoscopy in cases of unclear swelling of the major salivary glands. Otolaryngol Head Neck Surg 2005;133:863–8
12 Capaccio, P, Torretta, S, Ottavian, F, Sambataro, G, Pignataro, L. Modern management of obstructive salivary diseases. Acta Otorhinolaryngol Ital 2007;27:161–72
13 Witt, RL, Iro, H, Koch, M, McGurk, M, Nahlieli, O, Zenk, J. Minimally invasive options for salivary calculi. Laryngoscope 2012;122:1306–11
14 Marchal, F, Dulguerov, P. Sialolithiasis management: the state of the art. Arch Otolaryngol Head Neck Surg 2003;129:951–6
15 Capaccio, P, Torretta, S, Osio, M, Minorati, D, Ottaviani, F, Sambataro, G et al. Botulinum toxin therapy: a tempting tool in the management of salivary secretory disorders. Am J Otolaryngol 2008;29:333–8
16 Pantel, M, Volk, GF, Guntinas-Lichius, O, Wittekindt, C. Botulinum toxin type b for the treatment of a sialocele after parotidectomy. Head Neck 2013;35:E11–12
17 Kruegel, J, Winterhoff, J, Koehler, S, Matthes, P, Laskawi, R. Botulinum toxin: a noninvasive option for the symptomatic treatment of salivary gland stenosis – a case report. Head Neck 2010;32:959–63
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *

CAPTCHA *

Skip to the audio challenge
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 4
Total number of PDF views: 45 *
Loading metrics...

Abstract views

Total abstract views: 305 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 12th June 2018. This data will be updated every 24 hours.

Cancel
Confirm
×