Sialendoscopy is a minimally invasive technique used to diagnose and treat salivary glanddiseases, such as obstruction by salivary stones or strictures in the excretory ducts..
During the procedure, a very thin endoscope is inserted through the mouth, into the duct of the gland (parotid or submandibular), allowing the doctor to directly observe the interior and intervene if necessary. The entire procedure is performed intraorally, without incisions in the skin.
When is it appropriate?
Salivary endoscopy is mainly indicated when there are:
- Recurrent inflammation of the salivary glands (sialadenitis)
- Pain or bloating when eating, an indication of a possible blockage
- Salivary stones, which are the most common cause of obstruction
- Narrowing or adhesions in the pores, after old inflammations or infections
How is it done?
The endoscope is inserted through the mouth of the duct into the oral cavity or under local anesthesia. If necessary, the duct is gently dilated or a small incision is made to facilitate access. The doctor examines the anatomy and findings and, if necessary, proceeds immediately to therapeutic intervention. The duration of the procedure is usually 15 to 20 minutes for diagnostic sialendoscopy and 25 to 50 minutes for interventional sialendoscopy and can be performed either under local anesthesia in the officeor under general anesthesia in the operating room, depending on the case.
What diseases does it treat?
