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

Published online by Cambridge University Press:  10 February 2016

P Capaccio ,
M Gaffuri ,
S Torretta  and
L Pignataro
P Capaccio
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy
M Gaffuri*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy Department of Clinical Sciences and Community Health, University of Milan, Italy
S Torretta
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy Department of Clinical Sciences and Community Health, University of Milan, Italy
L Pignataro
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy Department of Clinical Sciences and Community Health, University of Milan, Italy
*
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
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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.

Keywords

Parotid GlandSalivary DuctsForeign BodyEndoscopyVideo-Assisted Surgery
Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 5 , May 2016 , pp. 501 - 505
Copyright
Copyright © JLO (1984) Limited 2016 

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