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Iraqi woman having 53 stones in salivary duct gland operated by Indian doctors

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PTI    08 November 2019

On Thursday, a 66-year-old Iraqi woman got a new lease of life after undergoing an operation at a hospital in India for removal of 53 stones from her salivary duct and gland.

The woman patient from Baghdad, was suffering from recurrent attacks of pain and swelling of the right-sided parotid gland after having food or drink. The hospital said in a statement that this caused havoc in her life and has to follow severe restrictions on what she could eat. The surgery was performed by doctors at the Sir Ganga Ram Hospital which took two hours.

The statement also said that after consultation, she was diagnosed to have multiple stones in her right-sided parotid duct with the largest stone being about 8 mm in size stuck midway between origin and end of the duct. Doctors operated on her and removed 53 stones from salivary duct and gland.

According to Dr Varun Rai, ENT Consultant, Sir Ganga Ram Hospital, the biggest challenge was to remove all the stones without causing any injury to the gland or the thin duct. The stones were removed carefully one by one using baskets and forceps without any cut in the body. The entire procedure took almost two hours. He further said that after an extensive review of worldwide literature, a single parotid gland having "more than 25 stones within the parotid duct was not previously reported.

The hospital claimed that most of the doctors in Iraq and surrounding regions suggested a radical procedure of removal of the parotid gland, which would unavoidablyhad left an unpleasant scar on the face and in all possibility would have caused her face paralysed.

She came to India as she had heard of a procedure called "sialendoscopy" where a small endoscope measuring just 1.3 mm is inserted into the duct of the parotid gland and the cause of obstruction is directly addressed.

The parotid glands are a pair of essentially serous salivary glands located below and in front of each ear canal. She underwent the procedure at the Sir Ganga Ram Hospital, where the endoscopy of the parotid duct had shown that the large stone seen on CT scan was in fact a cluster of smaller stones impacted together.

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