Table 1 The reported cases of transoral surgically removed parotid duct stones in the literature in comparison to the current reported case
Study | Age | Sex | Clinical | Side | Duration | Radiology | Surgery |
|---|---|---|---|---|---|---|---|
Sharma et al. [1] | 26 years | Female | Recurrent cheek swelling | Right | 3 years | Parotid sialogram revealed duct obstruction CT showed radiopaque calculus | Under general anesthesia using Dormia basket, duct incised intraorally, over the metal sheath of the basket; remove stone 4 × 2 mm |
Moghe et al. [6] | 25 years | Male | Intermittent pain and swelling, stony hard mass palpated in the region of the right buccal mucosa | Right | 1 year | US—radiopaque substance in the region of the duct X-ray | Local anesthesia, stone 5–6 mm visible at the orifice with another 2 mm stone—stent placed Closure with silk |
Hathiramani et al. [8] | 4 years | Male | Pain, redness, and swelling in the parotid region Fever, induration, and tenderness in the region of gland Palpable stone in distal part of duct No discharge | Right | 12 days | 2–3 mm hyperechogenic focus | Few pus at the stenotic opening that the cannulated and duct laid open over venflon and flushed with saline Calculus flushed out widened duct opening sutured to mucosa with 6/0 absorbable suture. |
Hathiramani et al. [8] | 3.5 years | male | External discharging fistula with bouts of pain and swelling calculus felt in the parotid duct Cervical lymph nodes palpable and non-tender. | Left | 3 weeks | Dilated left parotid duct with thick walls communicating with the discharging sinus on the skin. A 3-mm calculus noted in the distal end of the duct | Duct was cannulated with lacrimal probe. Purulent discharge present, duct laid open but the stone could not be flushed out as the stone shifted proximally. Intraoperative US was used to identify the stone and duct was laid open to deliver the stone. Duct sutured to mucosa with 5/0 absorbable sutures |
Erdem et al. [10] | 53 | Male | Painless swelling on the cheek | Right | 1 year | CT—radiopaque oval about 11.19 × 7.19 mm | Local anesthesia—transoral duct incision |
Our case | 27 years | Male | Swelling and pain Stone felt | Left | 1 year | US—left stone in the distal duct with dilatation | General anesthesia, transoral per punctilum, small incision, and pus come first |