West Wake News

Sialolithiasis, commonly known as salivary stones, are calcified mineral deposits that obstruct the saliva glands or their ducts, causing symptoms such as pain, swelling, a lump under the tongue, bad breath, dry mouth, and an unpleasant taste. In cases where these stones are untreated, complications can arise, including tooth decay, infection, and difficulty breathing.

To determine the appropriate treatment, medical professionals use CT scans or ultrasound imaging to assess the size, location, and shape of the stones. They consider factors such as infection in the duct or gland and other health-related concerns that might affect the treatment.

Sialendoscopy, a procedure developed in the 1980s, offers a modern approach to treating large salivary stones. Dr. Liana Puscas from Duke Health describes the equipment used: “You’re talking about something that is the size of the tip of a ballpoint pen.” The procedure involves the use of specialized fiberoptic endoscopes, requiring careful handling and multiple devices on reserve.

In contrast to traditional surgery that removes the blocked gland and carries risks such as facial nerve damage and extended recovery time, sialendoscopy is minimally invasive. The process includes widening the duct's opening, using a small metal basket to remove the stone, and securing the duct with stitches. Generally lasting about 90 minutes, it does not necessitate a hospital stay.

Dr. Puscas advises that post-procedure soreness is expected and soft foods should be consumed until the swelling subsides. Patients often experience immediate improvement and follow-up visits can be conducted either in person or via telehealth services.