Salivary Gland Endoscopy and Minimally Invasive Surgery

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Abstract

In the 1990s and the beginning of the 2000s, the problem analyzed and discussed in articles on salivary gland surgery could reasonably be labeled: “minimally invasive surgery versus gland excision.”. In the 2010s, the discussion has shifted to the question of which minimally invasive method to choose. At the same time, there is no clear borderline between radical and minimally invasive surgery of the salivary glands. Currently, both surgical approaches partially overlap and in some cases endoscopically assisted traditional surgery is applied. Minimally invasive approach, or “less aggressive surgery,” for traditional parotidectomy suggests selective deep lobe parotidectomy instead of total excision of the gland in benign cases only involving the deep lobe. Combinations of various minimally invasive techniques are also possible. This chapter describes several modern techniques to choose from: the direct sialoendoscopic removal of the stones via the salivary ducts, the endoscopy-assisted intraoral surgery, the extracorporeal shock-wave lithotripsy (ESWL), a combination of the ESWL with the sialoendoscopic approach in order to remove stone fragments, and the ductal stretching.

Keywords

Salivary gland surgery Sialoendoscopy Extracorporeal shock-wave lithotripsy Sialolithiasis Ductal stretching 
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Copyright information

© Springer-Verlag GmbH Germany 2018

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgeryThe Barzilai Medical CenterAshkelonIsrael
  2. 2.The Faculty of MedicineBen Gurion University of the NegevBeer ShevaIsrael
  3. 3.Department of Oral and Maxillofacial SurgeryEastman Institute for Oral Health University of RochesterRochesterUSA
  4. 4.Department of Oral and Maxillofacial SurgeryUniversity of Michigan Health SystemAnn ArborUSA

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