SIALENDOSCOPY

INDICATIONS/PROCEDURES/WORKUP/ANAESTHESIA/LEAFLET


Indications

1.Obstructive disease

1a.Stones

1b.strictures

2.sialectasia

3.sialadenitis/sialodochitis


Procedures

Stones

1.endoscopic basket retrieval of stones

An endoscope of tiny diameter is used to locate the stone within the duct and a wire basket removes the cause of obstruction. This technique applies to calculi measuring up to 4-5mm.

2.endoscopic haldheld laser stone breaking of stones

A laser probe is guided through the endoscope channel and fragments the bigger stones 5-8mm in order for the smaller particles to be grasped with a forcep or retrieved with a basket.

3.endoscopically assisted surgical removal of stones

Occasionally stones are too big to fragment or retrieve or they are located in unaccesible areas within the ductal system of the glands that makes combined open and endoscopic approach the alternative to radical surgery.

Click to download the papers:
T1-T2 UCH Paper
SMB Stones IJOMS



Strictures

1.Endoscopically assisted dilatation/sialoplasty

Strictures can be dilated with special salivary probes, the active passage of endoscope of gradually increasing size and balloons .

2.Radiologically Guided dilatation/sialoplasty

under radiological control a balloon is used to dilate/stretch the narrowed duct.


Workup

1.Ultrasound

2.sialendoscopy

3.sialogram

4.MRI Sialogram


ANAESTHESIA

Local anaesthesia

IV Sedation

General anaesthesia


LEAFLET

Pdf leaflet sialendoscopy LDH