Sialendoscopy with Stone Removal

Overview

Sialendoscopy with stone removal is a minimally invasive procedure used to treat sialolithiasis, a condition characterized by the formation of stones in the salivary glands. This procedure involves the use of a tiny endoscope to locate and remove stones from the salivary ducts, offering a less invasive alternative to traditional surgery. In this blog, we will explore what sialolithiasis is, the symptoms and causes, the sialendoscopy procedure, and what to expect during recovery.

What is Sialolithiasis?

Sialolithiasis occurs when calcium-rich stones form within the salivary glands, obstructing the flow of saliva. The major salivary glands affected include the parotid, submandibular, and sublingual glands, with the submandibular gland being the most commonly affected due to its saliva composition and flow pattern.

Symptoms of Sialolithiasis

The symptoms of sialolithiasis can vary depending on the size and location of the stones but commonly include:

• Pain and Swelling: Often in the affected gland, especially during meals when saliva production increases.
• Dry Mouth: Due to blocked saliva flow.
• Infection: Redness, fever, and pus discharge if the gland becomes infected.
• Difficulty Swallowing: Caused by the swelling and obstruction.

Causes of Sialolithiasis

The exact cause of sialolithiasis is not always clear, but several factors can contribute to stone formation:

• Dehydration: Reduced saliva production can lead to higher concentrations of calcium and other minerals.
• Saliva Composition: High calcium levels in saliva can predispose individuals to stone formation.
• Medications: Certain medications that reduce saliva flow can increase the risk.
• Infections or Inflammation: Chronic infections or inflammation in the salivary glands.

What is Sialendoscopy?

Sialendoscopy is a minimally invasive technique that uses a small endoscope to directly visualize and treat conditions affecting the salivary ducts, including the removal of stones. This procedure allows for precise treatment with minimal damage to surrounding tissues and quicker recovery times compared to traditional surgery.
 

The Sialendoscopy with Stone Removal Procedure

1. Preparation:
   • A thorough medical evaluation is conducted, including imaging tests such as ultrasound, CT scans, or MRI to locate and assess the size of the stones.
   • Patients may be advised to avoid eating or drinking for a few hours before the procedure.
2. Anesthesia:
   • Sialendoscopy is typically performed under local anesthesia to numb the area, although general anesthesia may be used in some cases, especially for larger stones or more complex procedures.
3. Procedure:
   • The patient is positioned to provide the surgeon with clear access to the affected salivary duct.
   • A tiny endoscope is inserted into the duct opening. The endoscope is equipped with a camera and light, allowing the surgeon to view the inside of the duct on a monitor.
   • Using the endoscope, the surgeon locates the stone and uses specialized instruments to either grasp and remove the stone or break it into smaller pieces that can be flushed out.
   • The procedure typically takes about 30 to 90 minutes, depending on the size and number of stones.
4. Post-Procedure:
   • After the procedure, the patient is monitored for a short period to ensure there are no immediate complications.
   • Most patients can go home the same day and resume normal activities shortly after.

Recovery and Aftercare

Recovery from sialendoscopy with stone removal involves several important steps:

1. Hydration:
   • Drinking plenty of water helps flush out any remaining stone fragments and promotes normal saliva flow.
2. Dietary Guidelines:
   • Soft foods and increased fluid intake can help reduce discomfort and facilitate the passage of stone fragments.
3. Pain Management:
   • Mild discomfort or soreness in the treated area is common. Over-the-counter pain relievers can help manage these symptoms.
4. Follow-Up Care:
   • Regular follow-up appointments are necessary to monitor the healing process and ensure that all stone fragments have been successfully removed. Additional imaging tests may be conducted to confirm this.
5. Oral Hygiene:
   • Good oral hygiene practices, including regular brushing, flossing, and possibly using mouth rinses, can help prevent infections and promote healing.

Benefits of Sialendoscopy with Stone Removal

Sialendoscopy offers several key benefits:

• Minimally Invasive: The procedure avoids large incisions, reducing the risk of complications and promoting quicker recovery.
• Effective Symptom Relief: Removing the stones alleviates pain, swelling, and other symptoms associated with sialolithiasis.
• Preservation of Salivary Glands: The technique allows for the preservation of gland function, which is often compromised with traditional surgery.

Risks and Complications

While sialendoscopy is generally safe, it does carry some risks, including:

• Minor discomfort or swelling at the treatment site
• Incomplete removal of the stone, requiring additional treatment
• Rarely, damage to the salivary duct or gland

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital, and doctor, for a sialendoscopy at the lowest costs. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!