This protocol addresses sialolithiasis of the sublingual gland occurring alongside sialolithiasis of the parotid gland in which the parotid stone is situated at a hilar to intraparenchymal location — a configuration that poses distinct management challenges requiring a targeted approach.
The concurrent condition is sialolithiasis of the parotid gland with the stone in a hilar to intraparenchymal location. Up to 20% of all salivary stones are found in an intraparenchymal position. This deep stone location defines the clinical challenge that shapes the management strategy for this scenario.
Management in this setting centres on a combined endoscopic–transcutaneous technique. In selected cases, simultaneous imaging-guided navigation forms part of the approach.
The complete procedural sequence, full indications, and the approach when multiple stones are present are detailed in the structured protocol below.
DOI: 10.3390/jcm11010231