Combined (endoscopic-transcutaneous) techniques are an effective treatment for large and/or impacted stones of the major salivary glands. This approach results in high rates of symptom improvement and gland preservation. The complication rates are relatively low, further supporting the use of these techniques as an additional tool between the classic sialendoscopy and the external classic procedures of gland removal. In this chapter, we describe the combined approach for the parotid gland and the submandibular gland and finally, the retrograde sialendoscopy through the surgical field of an open approach.
Part of the book: Salivary Glands