Sialendoscopy is a minimally invasive procedure to diagnose and treat salivary gland pathologies.
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Indications
removing submandibular and parotid duct calculi 1
juvenile recurrent parotitis: excludes any localized cause and also has a therapeutic role 1
ductal strictures that may be secondary to ductal calculi can be treated very effectively with the help of sialendoscopes 1
to study the pathological changes after sialadenitis by radioiodine and its treatment
Contraindications
acute salivary gland inflammation: poor visibility of the ductal system with possible duct perforation leading to ductal stenosis
Procedure
Diagnostic and therapeutic sialendoscopes have a parallel channel to pass instruments like forceps, wire baskets, micro drills, and laser fibers. Sialendoscopes have different diameters ranging from 0.9 to 1.6 mm 1.
History
Katz and Fritsch first described the sialendoscope in the 1990s who using a flexible endoscope for the evaluation of salivary gland ducts 1.
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