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Sialendoscopy

Sialendoscopy is a minimally invasive procedure that gently removes salivary gland stones and blockages, reducing swelling and discomfort while preserving gland function.

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Clear Diagnosis and Relief for Salivary Blockages

Sialendoscopy | SoCal ENT in Palm Springs, CA

The salivary glands are essential for maintaining oral health and aiding in digestion by producing saliva that lubricates food and protects the teeth. When these glands become blocked, infected, or inflamed, it can lead to swelling, pain, and challenges with eating or speaking. In the past, these issues often required invasive surgery, sometimes involving the removal of the gland and a lengthy recovery period.

At SoCal ENT, we provide sialendoscopy, a modern, minimally invasive technique that preserves the gland while effectively diagnosing and treating salivary gland conditions. With the use of a tiny, high-definition endoscope, our ENT specialists can identify and remove obstructions, treat infections, and restore healthy saliva flow, offering fast relief with less discomfort and minimal recovery time.

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Sialendoscopy at a Glance

  • Function: Identifies and addresses salivary gland issues without the need for open surgery
  • Equipment: Uses a small, high-resolution endoscope for accurate visualization and targeted care
  • Duration: Typically completed in 45–60 minutes while the patient is under general anesthesia
  • Healing Time: Quicker recovery and less discomfort compared to conventional surgical methods
  • Advantages: Maintains natural saliva production, lowers risk of complications, and promotes faster healing

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Modern Salivary Gland Care

What is Sialendoscopy?

Sialendoscopy is a gentle, minimally invasive procedure used to identify and treat obstructions or infections within the salivary glands. It involves the use of a slender, flexible scope equipped with a light and high-definition camera, allowing for detailed visualization and precise navigation through the salivary ducts.

Unlike traditional surgical methods that may require removal of the gland, sialendoscopy helps preserve normal gland function and saliva flow. The procedure is typically performed through the natural duct opening or with a small incision inside the mouth, resulting in less discomfort, minimal scarring, and a faster recovery.

Safe, Precise & Effective

How is Sialendoscopy Performed?

Sialendoscopy Step-by-Step:

  1. Anesthesia: To ensure comfort throughout the procedure, the patient is placed under general anesthesia.
  2. Duct Access: The natural opening of the salivary duct is gently widened using fine dilators, typically just 1–2mm in diameter.
  3. Endoscopic Visualization: A slender, flexible camera-equipped endoscope is inserted to examine the salivary duct system and locate any blockages or abnormalities.
  4. Stone Extraction (if needed): If a stone is found, it can be retrieved using delicate wire baskets or miniature tools. For larger stones, a small internal incision in the mouth may be made to assist with removal.
  5. Flushing: The duct is rinsed with a sterile saline solution to clear out any remaining debris or signs of infection.
  6. Stent Placement (if required): A temporary micro stent (approximately 1.2mm) may be placed to keep the duct open and support healing over the following two weeks.
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Relief for Blocked, Painful, or Inflamed Salivary Glands

What Conditions Does Sialendoscopy Treat?

Sialendoscopy is a highly effective solution for a range of salivary gland issues, including:

  • Salivary Stones (Sialolithiasis): Hard mineral deposits that obstruct the salivary ducts, often causing swelling, discomfort, and infection. These stones may range in size from just a few millimeters to over a centimeter in diameter.
  • Salivary Gland Infections: Inflammation caused by bacterial or viral pathogens that can result in painful swelling, fever, and difficulty eating or swallowing.
  • Salivary Duct Narrowing (Stenosis): The buildup of scar tissue or narrowing of the duct can restrict the natural flow of saliva, leading to chronic gland problems.

By treating these conditions with sialendoscopy, we can relieve painful symptoms, restore natural saliva flow, and reduce the risk of further gland damage.

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Minimally Invasive, Maximum Relief

What Are the Benefits of Sialendoscopy?

Compared to traditional salivary gland surgery, sialendoscopy offers several key benefits:

  • Less Invasive: Uses a small opening or natural duct entry, minimizing discomfort, tissue trauma, and visible scarring.
  • Gland Preservation: Allows the salivary gland to remain intact, helping maintain normal saliva flow and function.
  • Quicker Recovery: Most patients resume normal routines within just a few days.
  • Lower Risk Profile: Significantly decreases the chances of complications such as bleeding, infection, or nerve injury.
  • High Success Rate: When performed by experienced ENT specialists, sialendoscopy achieves up to a 95% success rate in accurately diagnosing and resolving salivary gland issues.

With advanced tools and real-time imaging, this procedure delivers targeted, efficient care, without the extended downtime of traditional surgery.

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When Sialendoscopy May Be the Right Choice

Am I a Candidate for Sialendoscopy?

You may be a strong candidate for sialendoscopy if you have:

  • Ongoing pain or swelling in one or more salivary glands
  • Recurrent infections affecting your salivary glands
  • Trouble swallowing caused by impaired saliva drainage
  • Diagnosed salivary duct blockage, narrowing, or stones

During your consultation, our ENT specialists will carefully assess your symptoms and review imaging results to decide whether sialendoscopy is the most effective treatment for your condition.

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Healing, Comfort, and Lasting Relief

Sialendoscopy Recovery & Results

Sialendoscopy is a minimally invasive procedure, meaning recovery is typically fast. Most patients are discharged the same day and can resume normal activity within a few days to a week. Because the procedure is performed through the natural opening of the salivary duct inside the mouth, there are no external incisions or significant scarring. Patients generally experience only mild pain and temporary gland swelling post-operatively, which is usually managed with over-the-counter medication.

Sialendoscopy has a very high success rate for resolving obstructive salivary gland diseases like salivary stones (sialolithiasis). The key benefit of sialendoscopy is that it is a gland-preserving technique, successfully clearing the obstruction and restoring normal salivary gland function, thus preventing the need for more invasive surgery to remove the entire gland. Patients often report immediate relief from the painful, recurrent swelling associated with the obstruction.

Sialendoscopy Frequently Asked Questions

No, the sialendoscopy is performed with general anesthesia and does not cause pain. Discomfort during recovery is typically mild.

Overall procedure time can vary, but typically sialendoscopy takes about 45–60 minutes to perform.

Patients often resume work or regular activities within a few days. Depending on the extent of the procedure, some patients may need slightly longer to recover.

Possible risks including minor bleeding, infection, or recurrence of the blockage. Sialendoscopy has a much lower risk of complications than traditional salivary gland surgery.

Many medical insurance plans cover it. Our team will ensure you get the maximum amount of coverage available to minimize your out-of-pocket cost.