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return to: Sialendoscopy

return to: Endoscopic stone management: Intermediate Sized/Lasers/External Lecture LSU New Orleans (Hoffman) Feb 1-2 2014

see also: Fixed Intermediate Sized Salivary Stones Lecture AHNS Salivary Endoscopy Course April 9 2013

In the absence of bacterial contamination chronic obstruction to outflow of saliva from a major salivary gland often results in its involution as a non-functional asymptomatic remnant of a gland. Although the goal of sialendoscopy-assisted gland-preserving surgery in the management of salivary obstruction from stones and strictures is relief of symptoms and restoration of normal salivary flow, sometimes these dual goals are not achieved. Relief of painful swelling of salivary glands may occur without normal production of saliva when the gland atrophies or involute. Examples of cases are listed below:

Case #1

44 yo with intermittent swelling of the left submandibular gland for 15 years without treatment to date:

References

CONLEY JJ, OLESEN RM, RANKOW RM, SCHWARTZ AJ, WEY WA. STENSEN'S DUCT IN RESECTION OF PAROTID GLAND. Arch Otolaryngol. 1965 Feb;81:194-8. doi: 10.1001/archotol.1965.00750050201016. PMID: 14233937.