Sialendoscopy My Series

Sialendoscopy is a procedure used to examine the ducts of the major salivary glands. A miniature telescope, known as a micro-endoscope, is inserted into the appropriate salivary gland duct as it enters the mouth. This allows the salivary gland ducts to be explored and small instruments can be inserted through the microendoscope to remove any salivary stones or debris that may be present. Balloon dilatation of strictures can also be performed Usually the procedure can be done under local anaesthetic. Once the telescope is introduced the duct will be examined. To allow inspection of the ducts they need to be rinsed with fluid throughout the procedure. This rinsing will cause some temporary swelling of your gland. The swelling usually resolves within twenty-four hours. Small stones can be removed through the Micro endoscope. Larger stones can sometimes be broken into smaller pieces and removed through the endoscope. In some cases a combined endoscopic and surgical approach will be recommended. This is usually for large stones that have become stuck within the ducts. Narrowing of strictures of the duct can be stretched to allow better salivary flow. I would like to present my series and results from Sialendoscopy; it is an organ sparing technique with a steep learning curve

Author(s): Ms Shadaba Ahmed

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