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Image-guided and sialendoscopy-assisted transoral approach for parotid duct stenosis and megaduct

Published online by Cambridge University Press:  09 October 2023

Michele Gaffuri Open the ORCID record for Michele Gaffuri [Opens in a new window] ,
Ludovica Battilocchi ,
Lorenzo Pignataro  and
Pasquale Capaccio
Michele 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, Milan, Italy
Ludovica Battilocchi
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, Milan, Italy
Lorenzo 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, Milan, Italy
Pasquale 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, Milan, Italy
*
Corresponding author: Michele Gaffuri; Email: [email protected]
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Abstract

Objective

The aim of this communication was to introduce a novel combined image (magnetic resonance and computed tomography-guided and sialendoscopy-assisted transoral approach for the treatment of a parotid duct stenosis with megaduct.

Methods

A 46-year-old woman was referred to our department for recurrent infections of the right parotid gland following unsuccessful multiple transoral surgical approaches for a Stensen's duct stricture with megaduct. An image (magnetic resonance and computed tomography)-guided and sialendoscopy-assisted transoral sialodochoplasty was planned and performed.

Results

No complications occurred. The patient was discharged 2 days after surgery. No more swelling or infections occurred. The patient is currently symptom-free after a follow up of 11 months.

Conclusion

Although imaging navigation means more technical effort and costs, this novel approach can be considered a viable surgical opportunity for distal and mid-third parotid duct stenosis with concomitant megaduct, particularly in cases of persistent inflammation or iatrogenic scars due to previous surgery.

Keywords

Salivary glandsparotid diseasesmagnetic resonance imagingneuronavigation
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 5 , May 2024 , pp. 581 - 583
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Michele Gaffuri takes responsibility for the integrity of the content of the paper

References

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