Treatment of Parotid Gland Sialolithiasis with Stone Located in the Papilla or Distal Excretory Duct

This protocol applies to sialolithiasis of the parotid gland where the calculus is situated in the papilla or distal excretory duct — a specific anatomical location that defines the clinical approach.

Stones in the papilla and distal excretory duct represent a defined subset of parotid sialolithiasis. The location of the calculus within this segment of the duct is a key factor in determining which interventional options are applicable.

Management in this setting involves a shock-wave based strategy. The complete protocol specifies when this approach is indicated and how it is structured — the full details are available via the link below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1007/s00405-025-09697-y

Stones in the Papilla and Distal Excretory Duct

ESWL is no longer a preferred treatment modality and is indicated only in selected cases—e.g., when there is unfavorable duct anatomy and/or a difficult stone location (e.g., extraductal).

ESWL can then again be supplemented with intSE and ISWL.

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