关键词: combined endoscopic transcutaneous approach facial nerve parotid gland sialolithiasis rare finding sialadenitis sialendoscopy surgical challenges

来  源:   DOI:10.7759/cureus.57614   PDF(Pubmed)

Abstract:
This case report details a complex case of parotid gland sialolithiasis with stones adherent to the facial nerve, a scenario that presents a significant surgical challenge. Traditional sialendoscopy failed to address the condition in a 23-year-old female patient, leading to the adoption of a combined endoscopic transcutaneous approach. This method successfully resolved the condition without intraoperative complications, maintaining intact facial nerve function postoperatively. The case emphasizes the importance of individualized surgical strategy and expert technique in advanced parotid surgery, advocating this approach for similarly complex sialolithiasis cases.
摘要:
该病例报告详细介绍了一个复杂的腮腺唾液管结石,结石粘附于面神经,一个方案,提出了一个重大的手术挑战。传统的鼻内镜检查未能解决一名23岁女性患者的病情,导致采用联合内镜经皮入路。该方法成功解决了病情,无术中并发症,术后保持面神经功能完整。该病例强调了个性化手术策略和专家技术在高级腮腺手术中的重要性,对于类似复杂的唾液酸结石病例,提倡这种方法。
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