타액선 내시경과 외부접근법으로 치료한 이하선관타석증 치료 1예

We introduce a case of surgical removal for Stensen’s duct stone with sialendoscopy. This case was that the patient was presented with postprandial swelling in infra-auricular lesion. CT scan shows that this symptom was induced by the Stensen’s duct stone. The identification of the stone was done with sialendoscopy, and the removal of the stone was performed via cervical minimal incision without injury of the facial nerve. There were limitations of the removal of the Stensen’s duct stone via only external approach, but combination of sialendoscopic and external approach removes the stone more easily and safely. The combined operation offers a further option for minimally invasive treatment in case with Stensen’s duct stone. (J Clinical Otolaryngol 2011;22:264-267)