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Surgeon-performed ultrasound and transfacial sialoendoscopy for complete parotid duct stenosis

Authors

  • William R. Ryan MD,

    Corresponding author
    1. Department of Otolaryngology–Head and Neck Surgery, University of California, San Francisco, San Francisco, California, U.S.A
    • Send correspondence to William R. Ryan, MD, Assistant Professor, Head and Neck Oncologic/Endocrine/Salivary Surgery, Department of Otolaryngology–Head and Neck Surgery, University of California, San Francisco, 2233 Post St, 3rd Floor, San Francisco, CA 94115. E-mail: wryan@ohns.ucsf.edu

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  • Jolie L. Chang MD,

    1. Department of Otolaryngology–Head and Neck Surgery, University of California, San Francisco, San Francisco, California, U.S.A
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  • David W. Eisele MD, FACS

    1. Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland, U.S.A
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  • The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

A 57-year-old man presented with a 16-month history of right parotid swelling since undergoing a transoral sialolithotomy of the parotid duct. An ultrasound and a computed tomography scan showed a 6 cm-long dilated parotid duct without evidence of sialolithiasis or tumor mass. The complete Stensen's duct stenosis that was found was managed by a surgeon-performed ultrasound-guided transfacial needle catheterization of the dilated parotid duct, anterograde sialoendoscopy, recanalization of the duct, and stent placement. At 15 month follow-up, the patient reported no recurrent facial swelling or discomfort. Surgeon-performed ultrasound, combined with sialoendoscopy, can provide unique advantages for managing parotid duct stenosis and obstructive sialadenitis. Laryngoscope, 124:418–420, 2014

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