# A Rare Case of Parotid Stone Adherence to the Facial Nerve

## TL;DR

A rare case of a parotid gland stone attached to a facial nerve was successfully treated using a specialized surgical approach.

## Contribution

The paper presents a novel combined endoscopic transcutaneous approach for complex parotid sialolithiasis.

## Key findings

- Traditional sialendoscopy failed to treat the patient's parotid stone.
- A combined endoscopic transcutaneous approach successfully removed the stone without nerve damage.
- The case highlights the need for individualized surgical strategies in complex sialolithiasis.

## 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.