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A Minimally Invasive Solution

Sialendoscopy | Southern California Center for Ear, Nose, Throat, and Allergy

The salivary glands play a crucial role in digestion and oral health, producing saliva that helps break down food and protect teeth. However, blockages, infections, and inflammation can cause pain, swelling, and difficulty eating or speaking. Traditionally, treating these conditions required invasive surgery, often resulting in gland removal and extended recovery times.

At SoCal ENT, we offer sialendoscopy, a minimally invasive, gland-preserving procedure that allows for precise diagnosis and treatment of salivary gland disorders. Using a tiny endoscope, our specialists can locate and remove blockages, relieve infections, and restore natural saliva flow—all with minimal discomfort and downtime.

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Sialendoscopy at a Glance

  • Purpose: Diagnoses and treats salivary gland disorders without invasive surgery
  • Technology: Miniature endoscope for real-time imaging and precision treatment
  • Procedure Time: 45–60 minutes under general anesthesia
  • Recovery: Faster and less painful than traditional gland removal surgery
  • Benefits: Preserves salivary function, reduces complications, and speeds up healing
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Clear the Air

What is Sialendoscopy?

Sialendoscopy is a minimally invasive technique designed to diagnose and treat blockages and infections in the salivary glands. The procedure uses a thin, flexible endoscope equipped with a high-definition camera and light, allowing specialists to navigate the salivary ducts with precision.

Unlike traditional surgery, which often requires removing the affected gland, sialendoscopy preserves gland function, ensuring continued saliva production for a healthy mouth. The procedure is performed through the natural opening of the duct or with a small incision in the mouth, reducing pain, scarring, and recovery time.

A Focus on Precision

How is Sialendoscopy Performed?

Step-by-Step Procedure:

  1. Anesthesia: The patient is placed under general anesthesia for a comfortable, pain-free experience.
  2. Dilation of the Duct: The natural opening of the affected salivary gland is gently stretched using tiny probes (1–2mm in size).
  3. Endoscopic Examination: A thin, flexible endoscope is inserted to visualize the salivary ducts and gland.
  4. Stone Removal (if necessary): If a salivary stone is detected, the doctor uses small wire baskets or micro-instruments to remove it. For larger stones, a small incision inside the mouth may be required.
  5. Irrigation: The salivary duct is flushed with saline solution to remove debris and infection.
  6. Closure & Healing: In some cases, a tiny (1.2mm) stent may be placed for two weeks to keep the duct open and promote proper healing.

Most procedures take between 45–60 minutes, and patients can go home the same day.

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End the Discomfort

What Conditions Does Sialendoscopy Treat?

Sialendoscopy is an effective treatment for a variety of salivary gland disorders, including:

  • Salivary Stones (Sialolithiasis): Calcified deposits that block saliva flow, leading to pain, swelling, and infection. Some stones can be as small as a few millimeters, while others can grow over a centimeter.
  • Salivary Gland Infections: Bacterial or viral infections that cause painful swelling, fever, and difficulty swallowing.
  • Salivary Gland Stenosis: A condition where scar tissue or narrowing of the duct prevents saliva from flowing freely.

By addressing these conditions with sialendoscopy, we can prevent long-term complications and help patients regain pain-free saliva flow.

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A Sigh of Relief

What Are the Benefits of Sialendoscopy?

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

  • Minimally Invasive: Requires only a tiny incision or natural duct entry, reducing pain and scarring.
  • Preserves the Salivary Gland: Avoids removal of the gland, maintaining normal saliva production.
  • Faster Recovery: Most patients return to daily activities within a few days.
  • Reduced Risk of Complications: Lower rates of bleeding, infection, and nerve damage compared to traditional surgery.
  • Highly Successful: Studies show that high-volume surgeons achieve a 95% success rate in diagnosing and treating salivary gland conditions.

By using advanced imaging and micro-instruments, sialendoscopy provides precise, effective treatment with minimal downtime.

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A Closer Look

Am I a Candidate for Sialendoscopy?

You may be a good candidate for sialendoscopy if you experience:

  • Persistent swelling and pain in the salivary glands
  • Frequent salivary gland infections
  • Difficulty swallowing due to blocked saliva flow
  • A confirmed salivary stone or duct narrowing

During your consultation, our specialists will review your symptoms and perform imaging tests to determine if sialendoscopy is the best option for you.

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Treatment That’s Not Hard to Swallow

Sialendoscopy Recovery & Results

Patients who undergo sialendoscopy typically experience:

  • Minimal post-procedure discomfort: Mild swelling or soreness, similar to healing from a tooth extraction.
  • Rapid return to daily activities: Most patients resume normal routines within a few days.
  • Long-lasting symptom relief: Once the blockage or infection is resolved, normal saliva flow is restored.
  • Preservation of natural function: Unlike traditional surgery, the salivary gland remains intact, reducing the risk of chronic dry mouth.

Sialendoscopy

Frequently Asked Questions

No, the procedure is performed under general anesthesia. Post-procedure discomfort is typically mild and similar to recovering from a pulled tooth.

Most sialendoscopies take 45–60 minutes, depending on the severity of the condition.

Most patients can return to work or normal activities within a few days, though some may need additional rest depending on the complexity of the procedure.

As with any procedure, there are risks, including minor bleeding, infection, or recurrence of the blockage. However, these risks are much lower than with traditional salivary gland surgery.

While sialendoscopy is classified as an "unlisted" surgical code, many insurance plans cover it. Our team will work to maximize coverage and minimize out-of-pocket costs.