What is Sialendoscopy?
Sialendoscopy is a minimally invasive endoscopic procedure used to diagnose and treat disorders of the major salivary glands. A tiny endoscope is inserted through the natural opening of the salivary gland duct, allowing the ENT specialist to directly visualize the duct and treat certain conditions without the need for large surgical incisions.
When is Sialendoscopy Recommended?
Sialendoscopy may be recommended for patients experiencing:
- Recurrent swelling of the salivary glands, especially during meals
- Salivary gland stones (sialolithiasis)
- Blockage or narrowing of the salivary gland ducts
- Recurrent salivary gland infections
- Chronic inflammation of the salivary glands
- Reduced or obstructed saliva flow
- Certain duct-related salivary gland disorders
How Does Sialendoscopy Work?
During the procedure, a small endoscope with a camera and light is carefully introduced into the salivary duct through its natural opening inside the mouth. The ENT specialist can examine the duct, identify stones or narrowing, and, when appropriate, remove stones or treat the blockage using specialized instruments.
Depending on the condition, sialendoscopy may be performed alone or combined with other minimally invasive techniques.
Benefits of Sialendoscopy
Sialendoscopy offers several potential advantages compared with conventional open surgery:
- Minimally invasive procedure
- No external skin incision in many cases
- Helps preserve the salivary gland
- Direct visualization of the salivary duct
- Can diagnose and treat the problem during the same procedure
- Generally associated with less tissue damage and scarring
- May allow faster recovery compared with traditional surgery
What to Expect After the Procedure
Most patients can gradually return to their normal activities according to their doctor's advice. Some temporary discomfort, swelling or soreness may occur after the procedure. Your ENT specialist will provide specific instructions regarding diet, oral care, medications and follow-up.
Is Sialendoscopy Right for You?
Not every salivary gland condition requires sialendoscopy. The appropriate treatment depends on the location and size of a stone, the degree of duct blockage, the affected gland and your overall health. An ENT specialist can evaluate your symptoms and recommend the most suitable treatment. Book an AppointmentFrequently Asked Questions
Is loud snoring always a sign of sleep apnoea?
No. While loud snoring is a common symptom, not everyone who snores has sleep apnoea. However, persistent snoring with breathing pauses should be evaluated.
Is Obstructive Sleep Apnoea dangerous?
Yes. If left untreated, OSA can increase the risk of cardiovascular disease, stroke, diabetes, and daytime accidents.
Can Obstructive Sleep Apnoea be cured?
Many patients can achieve excellent control or complete resolution depending on the underlying cause, weight management, CPAP therapy, or appropriate surgery.
How is sleep apnoea diagnosed?
The most reliable test is a sleep study (Polysomnography), which records breathing, oxygen levels, heart rate, and sleep patterns overnight.
Who is at higher risk for OSA?
People who are overweight, have enlarged tonsils, nasal obstruction, a family history of OSA, or chronic snoring are at increased risk.
Is surgery necessary for every patient?
No. Surgery is recommended only when anatomical blockage contributes significantly to the condition or when non-surgical treatments are ineffective or unsuitable.