Treatment of Sialolithiasis of the Sublingual Gland in Sialolithiasis of the Parotid Gland with the Stone in the Papilla or Distal Excretory Duct
This protocol addresses sublingual gland sialolithiasis in the specific setting of concurrent sialolithiasis of the parotid gland, where the stone is situated in the papilla or the distal excretory duct — a location that directly shapes management decisions.
Sialolithiasis of the parotid gland with the stone in the papilla or distal excretory duct. Stone location within this region is a key factor in determining the appropriate intervention strategy.
In selected cases — particularly where duct anatomy or stone location is unfavorable — extracorporeal shock-wave lithotripsy (ESWL) may be part of the approach. The complete protocol, including supplementary interventions and the full management sequence, is available via the link below.
References
DOI: 10.3390/jcm11010231
- 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.