Treatment of Sialolithiasis of Sublingual Gland in Sialolithiasis of the Parotid Gland with a Stone in the Middle or Proximal Duct

This protocol addresses the management of sialolithiasis of the sublingual gland occurring in the specific context of sialolithiasis of the parotid gland where the stone is located in the middle or proximal duct, or the hilar region.

Clinical Scenario

The patient presents with sialolithiasis of the parotid gland with the stone situated in the middle or proximal duct, or the hilar region — a location that determines the applicable intervention strategy.

Treatment Approach

Management in this scenario involves a combined endoscopic–transcutaneous approach, selected based on the accessibility and visibility of the stone. The specific technique depends on whether the stone can be visualised or reached — full procedural detail is available in the complete protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.3390/jcm11010231

Stones in the Middle or Proximal Duct and Hilar Region

If the anatomy of the duct system is unsuitable—e.g., due to narrowness of the duct lumen or duct variations—then ESWL, intSE, or ISWL may not be promising, leaving the combined endoscopic–transcutaneous approach as an alternative.

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