When a parotid gland calculus is located in the middle or proximal duct, or in the hilar region, the anatomical position limits the range of feasible interventions and typically requires a more definitive surgical approach after thorough patient counseling.
This protocol addresses sialolithiasis of the parotid gland in which the stone is situated in the middle or proximal duct, or the hilar region — locations that present particular challenges for less invasive management strategies.
The primary intervention for this anatomical situation involves a surgical procedure on the parotid gland, undertaken following thorough counseling of the patient regarding benefits and risks. Where surgery is not feasible, an alternative gland-directed treatment option may be considered.