Modern Method of Surgical Treatment of Stricture of the Parotid Salivary Gland Duct

Abstract

INTRODUCTION: A modern principle of treatment for obstructive pathologies of salivary glands is saving the gland itself and its functions using minimally invasive methods. This article describes a clinical case of elimination of the stricture of the parotid salivary gland duct and compensation for its expanded section behind the gland with intraoperative visualization using ultrasound. Under US control, the expanded portion was punctured from external access; a conductor was inserted, which passed into the oral cavity through the natural orifice. Through the formed opening, a catheter was installed, which expanded the narrowed area and prevented the reappearance of the stricture. Control examinations in 1, 6 and 12 months showed the functioning of the orifice with release of clear saliva in the satisfactory amount. The patient noted absence of enlargement of the parotid salivary gland and absence of pain at rest and in chewing. Control US in 6 and 12 months showed absence of any signs of stricture and reduction of the orifice diameter to 2 mm. CONCLUSION: The developed method of elimination of stricture of the parotid salivary gland duct can lead to reduction of duration and the scope of surgical intervention, of the risk of re-stricture, postoperative and rehabilitation periods, frequency of using costly equipment, which makes the procedure available.