Salivary gland duct endoscopy or sialoendoscopy represents a shift in how we deal with certain problems in the salivary glands. Instead of incision through the mouth or through the neck, we can now treat many problems working through the duct itself. We can diagnose narrowing or blockage of the duct from scarring, inflammation, sludge or stones. Smaller stones can be removed through this approach. By avoiding an incision, we can limit risk and recovery associated with open approaches.
In children, sialoendoscopy has provided a useful and minimally invasive way to treat recurrent inflammation of the salivary gland, also known as juvenile recurrent parotitis. By instilling medication endoscopically, we can avoid the need for repeated courses of powerful systemic medications.
Procedure times vary as access to the duct and introduction of the scope may be technically challenging. Stones and ductal pathology vary a great deal as well. Generally sialoendoscopy is an outpatient procedure. Afterwards you can expect swelling of the gland(s) as we use sterile irrigation throughout the procedure and often instill liquid medications into the duct and gland at the end of the procedure.