title: Sialendoscopy-assisted transfacial surgery for the removal of an iatrogenic foreign body in Stensen's duct: a stone and broken wire basket.
abstract: BACKGROUND
  A foreign body is a rare cause of parotid gland obstructive sialadenitis; intra-oral penetration via Stensen's duct is unusual. The relatively recent introduction of interventional sialendoscopy to treat obstructive sialadenitis has allowed surgeons to adopt a gland-sparing approach by means of miniaturised endoscopes and instruments. However, unusual anatomy or pathological conditions can give rise to a risk of intraductal rupture that may lead to a subsequent iatrogenic foreign body.
  
  
  METHODS
  This paper describes the case of a patient with a 4 mm stone engaged by a broken wire basket stuck in a secondary branch of Stensen's duct.
  
  
  RESULTS
  The iatrogenic foreign body was successfully retrieved by means of sialendoscopy-assisted transfacial surgery.
  
  
  CONCLUSIONS
  This is the first reported case of an intraductal rupture of a miniaturised device during interventional sialendoscopy successfully resolved by means of combined endoscopy and external surgery. This proved to be an effective method of rescuing a foreign body stuck in Stensen's duct.
authors: Department of Otolaryngology and Head and Neck Surgery,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico,Milan,Italy.
authors: P
authors: P
authors: Capaccio
authors: Department of Otolaryngology and Head and Neck Surgery,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico,Milan,Italy.
authors: M
authors: M
authors: Gaffuri
authors: Department of Otolaryngology and Head and Neck Surgery,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico,Milan,Italy.
authors: S
authors: S
authors: Torretta
authors: Department of Otolaryngology and Head and Neck Surgery,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico,Milan,Italy.
authors: L
authors: L
authors: Pignataro
mesh_terms: D000328:Adult; D004724:Endoscopy / Q000379:methods*; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D010306:Parotid Gland / Q000601:surgery*; D018987:Salivary Ducts / Q000601:surgery*; D015494:Salivary Gland Calculi / Q000150:complications / Q000601:surgery*; D012793:Sialadenitis / Q000209:etiology / Q000601:surgery*
keywords: Endoscopy; Foreign Body; Parotid Gland; Salivary Ducts; Video-Assisted Surgery