{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T12:49:57Z","timestamp":1774010997522,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Present follow\u2010up data comparing transoral and transfacial parotid gland procedures for stone removal to offer insight addressing technical considerations and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective study of a consecutive series of surgical treatments for parotid sialolithiasis from 2013 to 2018 at an academic institution by one surgeon provided review of 16 transoral and 10 transfacial procedures supplemented by long\u2010term follow\u2010up through telephone or mail. Clinical and radiographic parameters, additional treatment, and persistence of symptoms were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four of 10 patients treated with the transfacial approach had parotid\u2010cutaneous fistulas addressed with transdermal scopolamine patches and pressure dressings (one also with intraductal steroid infusion) with closure at a median of 12.5\u2009days. A fifth fistula failed to resolve at 23\u2009days and was addressed with parotidectomy. All 8 patients who were contacted (median: 106\u2009months) reported complete resolution of symptoms. None had facial weakness.<\/jats:p><jats:p>Six of 16 patients treated by a transoral approach had persistent stone fragments at the conclusion of operation. Four of these 6 patients underwent subsequent procedures (two transoral, one transfacial, one parotidectomy). Among the 11 patients who responded to long\u2010term follow\u2010up (median: 107\u2009months), one reported mild symptoms insufficient to request treatment. Larger stone size coupled with proximal location correlated with the conversion from transoral to include transfacial approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with retained stone remnants at the conclusion of transoral stone removal are more likely to require additional procedures that result in long\u2010term favorable results. The transfacial approach to stone removal offers long\u2010term favorable results following the common short\u2010term complication of salivary fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>OCEBM Level 4.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.70030","type":"journal-article","created":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T11:50:24Z","timestamp":1730980224000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Parotid sialolithiasis \u2013 Long term follow\u2010up analyzing surgical approaches"],"prefix":"10.1002","volume":"9","author":[{"given":"Zachary","family":"Tanenbaum","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3040-0908","authenticated-orcid":false,"given":"Piper","family":"Wenzel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4795-7458","authenticated-orcid":false,"given":"Evgeniya","family":"Molotkova","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Fick","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Iowa Hospitals and Clinics  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kailey","family":"Henkle","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University of Iowa College of Public Health  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4486-855X","authenticated-orcid":false,"given":"Henry","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25095"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31407"},{"key":"e_1_2_7_4_1","first-page":"161","article-title":"Modern management of obstructive salivary diseases","volume":"27","author":"Capaccio P","year":"2007","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.1007"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70175-4"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.9.951"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cxom.2018.05.009"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26610"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811415489"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812452837"},{"key":"e_1_2_7_12_1","first-page":"217","article-title":"Sialoendoscopy: state of the art, challenges and further perspectives. 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