Treatment of Sialolithiasis of the Parotid Gland with Stone at Hilar to Intraparenchymal Location
Clinical Scenario
This protocol applies to sialolithiasis of the parotid gland where the calculus is located from the hilum to an intraparenchymal position. Stone location in this anatomic range influences the range of interventions available and the likelihood of minimally invasive clearance.
Approach (partial overview)
Management may include endoscopic-based techniques for stones accessible to instrumentation, as well as certain minimally invasive procedures applicable in anatomically favorable situations. The complete sequence of interventions, including selection criteria among options, is defined in the full protocol.
Full regimen details — including selection criteria, procedural sequence, and anatomic conditions — are available via the link below.
References
DOI: 10.1007/s00405-025-09697-y
Hilar to Intraparenchymal Stones
If the calculi can be visualized during endoscopy, an attempt may also be made to extract small, mobile stones using endoscopy, mobilization, or fragmentation (see above).
IntSE and ISWL may be applied in favorable anatomic situations.
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