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Parotid stone removed through open facial approach

last modified on: Fri, 10/20/2017 - 11:53

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Parotid stone removed through open facial approach

return to: Sialolithiasis

see also: Combined Open and Endoscopic Removal of Parotid Stone (sialendoscopy case example)

return to: Parotid Sialogram Stone 2 or Sialograms and Sialography

see also: UCSF Sialendoscopy Nov 4 2015 Complex Cases

Note that this case and several other similar cases developed salivary drainage from the penrose drain site with meals after surgery. The differential diagnosis of drainage from disrupted parotid tissue (felt to be most likely) versus drainage from the duct at region of micro-repair was entertained. All cases responded to a short course of transdermal scopolamine (see reference Gallo et al 2013) with healing of drain site without further swelling or fluid drainage or accumulation. 

Open transfacial approach to removal of parotid stone


Gallo A, Manciocco V, Pagliuca G, Martellucci S, and de Vincentiis M: Transdermal scopolamine in the management of postparotidectomy salivary fistual. ENT- Ear, Nose & Throat Journal October/November 2013 Volume 92, Number 10-11 pp 516-519