Patients who present sialadenitis incidents from obstruction caused by stone (formed by saliva’s salts) or from narrowing of the glands’ pores, are treated using a technique that consists of inserting a very small endoscope (optical fiber) into the pore that drains saliva, which is connected to a camera.
The procedure is simple and is executed using local anesthesia; it can solve the problem either during the acute phase or after such frequent infections, and can determine the diagnosis.
The classic methods of displaying obstructive phenomena of salivary glands are: Sielography, ultrasound, x-ray, axial and magnetic tomography. Sielography has remained until now a method of choice for diagnosing obstructive phenomena of major salivary glands.
Ultrasound remains a reliable diagnostic tool for displaying stones within the salivary glands with the limitation that stones less than 3mm cannot be displayed.
Another examination presupposing the use of magnetic resonance is magnetic sielography that gives images of the salivary glands without the use of radiation.
Sialendoscopy system is a new revolutionary technique for endoscopic removal of stones from major salivary glands. (Parotid – submaxillar). Using local anesthesia, we enter the glandular pore and examine its lumen with a 1.3 mm diameter endoscope.
The patient leaves after approximately 40 minutes, having the obstructive phenomenon that has plagued him removed and without needing further hospitalization.
In conclusion, it is possible to remove or decompose the obstructive phenomenon that plagues the patient without requiring surgery or some other surgical operation, and the patient, using only local anesthesia, is relieved of the obstructive phenomenon with the least possible damage to the adjacent tissues and soon recovers immediately.
This operation can be performed by an otorhinolaryngologist, a Maxillofacial surgeon and by a specialized dentist with the help of the previous specialties.