Surgery of the Salivary Glands

Parotid Gland Intraoral Dilation of Strictures

Introduction Salivary ductal stenosis is a common cause of parotid gland obstruction. In the past, parotid strictures had been treated with sialography-guided balloon dilation. A number of case series demonstrated the technical feasibility and favorable intervention outcome. Nevertheless, with the…

Interventional Sialendoscopy: Complications

Introduction The widespread adoption of sialendoscopy is largely due to successful management of patient symptoms (~70–80%) and gland preservation (~95%) that avoids the potential serious complications of gland extirpation. This chapter focuses on complications of sialendoscopy for salivary stones (complications…

Stenting/Marsupialization

Introduction After procedures for stone retrieval, both stent placement and performing a marsupialization reduces the risk of stricture to the duct or papilla. Salivary flow during the healing process is also maintained. Stenting is generally recommended after combined approaches, but…

Extracorporeal Lithotripsy

Background and Indication Treatment of sialolithiasis is currently achieved by a minimally invasive gland-preserving therapy regime. The observation by van den Akker and Busemann-Sokole that salivary gland function completely recovers after stone removal later was confirmed by others. In >80%…

Interventional Sialendoscopy for Stones : Robotic Approaches

Transoral Robotic Surgery for Submandibular Sialolithiasis Transoral robotic surgery (TORS) was invented at the University of Pennsylvania and subsequently Food and Drug Administration (FDA) approved in 2009. Transoral surgery of the submandibular gland for tumors and inflammatory disease has not…