Treatment of Sialolithiasis of the Parotid Gland with Stone Located in the Middle or Proximal Duct or Hilar Region

Stone location within the parotid duct determines which interventions are appropriate. This protocol applies specifically when the calculus is situated in the middle or proximal segment of the duct, or at the hilar region — a distinct anatomical context from superficial or distal duct stones.

Clinical Scenario

Sialolithiasis of the parotid gland with the stone confirmed in the middle or proximal duct, or the hilar region. This location is the defining factor that shapes the interventional strategy described in the full protocol.

Approach

The protocol calls for a duct-access interventional technique that applies regardless of stone size or impaction status. The specific modalities, selection criteria, and procedural sequence are detailed in the full evidence-based regimen below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1007/s00405-025-09697-y

Stones in the Middle or Proximal Duct and Hilar Region

Small, mobile stones (≤3–5 mm) are primarily an indication for intSE or ISWL, independently of their size or impaction.

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