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

AbstractBackground: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.

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Pleomorphic adenoma of the cheek: A case report arising from accessory parotid gland around Stensen's duct orifice

Journal of Oral and Maxillofacial Surgery Medicine and Pathology ◽

10.1016/j.ajoms.2016.02.007 ◽

2016 ◽

Vol 28 (4) ◽

pp. 341-343 ◽

Cited By ~ 1

Author(s):

Dian-can Wang ◽

Yan Chen ◽

Chuan-bin Guo

Keyword(s):

Case Report ◽

Parotid Gland ◽

Pleomorphic Adenoma ◽

Stensen’S Duct ◽

Accessory Parotid Gland ◽

Stensen's Duct

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Idiopathic sialectasia of Stensen’s duct treated by marsupialisation of ectatic segment

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2015.v23i3.61 ◽

2015 ◽

Vol 23 (3) ◽

pp. 134-138

Author(s):

Indranil Pal ◽

Saumitra Kumar ◽

Anindita Sinhababu ◽

Kushal Chatterjee

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Parotid Gland ◽

Superficial Parotidectomy ◽

Parotid Duct ◽

Uncommon Condition ◽

Stensen’S Duct ◽

Stensen's Duct

Introduction:Sialectasis of parotid duct is an uncommon condition characterised by abnormal dilatation of a part or whole of the Stensen's duct. It may lead to recurrent parotid infections as well as a cause of concern for the patient. Superficial parotidectomy is the accepted surgical treatment for this condition. Case Report: A case of idiopathic dilatation of parotid duct is presented. It was treated by marsupialisation of the sialectatic segment.This procedure proved to be much simpler and safer than superficial parotidectomy whilst being equally effective. Conclusion: In cases of Stensen's duct sialectasis without any abnormality of the parotid gland, marsupialisation of the ectatic segment should be the treatment of choice.

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Stensen’s duct obstruction by foreign body and subsequent candidal infection of the parotid gland

The Journal of Laryngology & Otology ◽

10.1258/002221503768200066 ◽

2003 ◽

Vol 117 (8) ◽

pp. 662-665 ◽

Cited By ~ 13

Author(s):

Panagiotis K. Stefanopoulos ◽

Demetrios Th. Karakassis ◽

Aikaterini Triantafyllidou

Keyword(s):

Foreign Body ◽

Parotid Gland ◽

Main Duct ◽

Duct Obstruction ◽

Surgical Exploration ◽

Candidal Infection ◽

Proper Diagnosis ◽

Radiolucent Foreign Body ◽

Stensen’S Duct ◽

Stensen's Duct

A case of chronic inflammation complicated by Candida infection of the parotid gland in a 50-year-old woman is presented. This eventually proved to be caused by Stensen’s duct obstruction due to an unusual radiolucent foreign body. The process that led to the proper diagnosis is presented and the importance of surgical exploration of the main duct in cases suggesting distal duct obstruction is stressed.

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Unusual Foreign Body of Parotid Gland Presenting as Sialolithiasis: Case Report and Literature Review

Case Reports in Otolaryngology ◽

10.1155/2012/367349 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Sivapatha Sundaram Sreetharan ◽

Rajan Philip

Keyword(s):

Case Report ◽

Foreign Body ◽

Parotid Gland ◽

Unusual Case ◽

Foreign Bodies ◽

Image Intensifier ◽

Ct Scans ◽

Superficial Parotidectomy ◽

Unusual Foreign Body ◽

Surgical Options

This case report highlights an unusual case where a foreign body in the parotid gland was initially thought to be sialolithiasis based on CT scans. The foreign body was safely retrieved from the parotid gland without formal superficial parotidectomy using methylene blue and an image intensifier to localize the lesion. Diagnosis and management of foreign bodies in the parotid gland are reviewed, and surgical options in removal of such lesions are discussed.

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