What is Sialendoscopy?
Sialendoscopy or salivary gland endoscopy is a procedure, which examines the salivary gland ducts minimally. This procedure makes use of a mini telescope referred to as micro-endoscope, which is inserted within the opening of the ducts attached to the salivary glands. This allows for careful exploration of the salivary gland ducts and insertion of tiny instruments via the micro-endoscope to eliminate existing particles of debris or salivary stones.
When do you need salivary gland endoscopy?
Salivary gland endoscopy or sialendoscopy is recommended if stones have developed in your salivary duct. This condition is predominantly seen in middle-aged people and is characterized by pain and swelling inside the mouth or the neck, which can turn worse after having a meal.
Other symptoms of salivary duct stones include-
• Difficulty swallowing food
• A foul taste inside the mouth
The above signs may indicate the occurrence of salivary duct stones. In this case, your doctor will recommend salivary gland endoscopy.
Steps of the Procedure-
• Salivary gland endoscopy is performed with the help of local anaesthetic. If it is a part of some other procedure then a general anaesthetic can be used. When the micro-endoscope is inserted tiny cuts sometimes might be needed around the openings for smoother insertion of the endoscope. Making cuts around the duct openings are only required if the opening seems too tight for insertion of the endoscope.
• Once the mini-endoscope is inside, the doctor/surgeon will examine the drainage tubes. The ducts need constant rinsing with a fluid. The rinsing will lead to a temporary inflammation of the gland but the inflammation will subside within one day. The micro-endoscope allows for effective removal of tiny stones. Large stones are broken down into miniature versions and then eliminated via the endoscope. In certain cases, a combination of the surgical procedure and the endoscopic method is needed. This combination is aimed only at large stones that are stuck and are difficult to remove from the duct. The stricture of the duct needs to be narrowed and stretched for better flow of saliva.
• The healthcare provider can also clean the salivary glands with salty or saline water and/or other medications such as antibiotics and steroids. Saliendoscopy is a procedure that requires the patient to stay in the hospital overnight while the surgeon carries out the procedure in the oral surgery department.
After this procedure, the doctor will recommend the patient to consume soft, bland food. If you experience discomfort due to swelling you can opt for gentle message upon the advice of your supervising doctor.
Remember the sensation similar to that of a warm liquid flooding your tongue when you smell a deliciously baked chocolate cake? Or a freshly baked brown bread early in the morning? That is your saliva. The salivary glands present in the inner linings of the lips, cheeks and the mouth produce saliva. Saliva protects one from tooth decay, keeps the mouth moist and helps in the digestive process. Any disease that affects the saliva gland comes under the domain of ‘salivary gland disorders’.
There are three salivary glands in humans known as the Submandibular, Parotid and the Sublingual gland. The most common disorder that affects salivary glands is that of ‘blocked salivary glands’. Sialothiasis is a disorder wherein, calcium stones are formed in the salivary glands, which obstruct these glands. Obstruction of the salivary glands leads to an infection called sialadenitis, caused by strep or staph bacteria.
Sjogren’s syndrome is another condition which affects the salivary glands. In this condition, the antibodies in the body target the cells that produce saliva. This occurs mostly in women who suffer from autoimmune disorders. Viral infections are also common; flu virus and mumps are a few examples.
The symptoms of salivary gland disorders are problem specific; for Sialolithiasis, you will feel a painful lump below the tongue, which tends to aggravate when you eat. In case of Sialadenitis, there will be an odorous pus-filled discharge along with a lump beneath the chin. For viral infections, the symptoms will include muscle pain, swelling and fever. Symptoms of Sjogren’s syndrome are dry eyes and mouth, joint pain, fatigue and tooth decay.
Like the symptoms, the treatments for salivary gland disorders are also problem specific. For salivary gland tumors, surgery is required. If it is a malignant tumor, then radiation therapy will be prescribed which may cause dry mouth syndrome (Xerostomia). For bacterial and viral infections, anti-bacterial and anti-viral medications are required for treatment, respectively. It is also important that you take good care of your oral health for an even more effective treatment. Brushing and flossing your teeth on a regular basis will help keep salivary gland disorders at bay.
An ENT specialist or otolaryngologist exprise in problems related to upper respiratory tract problems, hearing ability and speech skill test. Best ENT specialists in Gurgaon are skilled in diagnosis, prevention and treatment of diseases related to upper respiratory tract like nasal passages, larynx, trachea, ear, nose, and throat. Below is the Best ENT specialists in Gurgaon that you can refer to in case of hearing problems, throat infections or speech disability.
1. Dr. K.K Handa
Commonwealth fellowship for training in Lasers, DNB, MBBS, MNAMS, MS(ENT)
Consultation fees: ₹800 - 900
Dr. K.K Handa has 30 years of experience as a trusted Ear-Nose-Throat (ENT) specialist. His areas of keen interest are endoscopic sinus surgery and head and neck surgery. He is also among the foremost voice and laser surgeons in the country. His expertise includes laryngology, voice surgery, laser surgery and cochlear implants.
2. Dr. Priyanjana Acharyya Sharma
MBBS, MS - ENT ( Gold Medalist Honors )
Consultation fees: ₹600
Dr. Priyaranjan Acharyya Sharma has around 10 years of experience and was a gold medallist in her MS ENT specialist. Dr. Sharma has specialization in treatments such as implants, removal of foreign bodies and aiding in the healing of impairment or injuries. She is a permanent member of IMA, MCI and AOI. She currently practices at Apollo Cradle, the GNH Hospital and the ENT care in Gurgaon.
3. Dr. Vijay Verma
MS - ENT , MBBS
Consultation fees: ₹500-1000
Dr. Vijay Verma is one of the most trusted and reputed doctor in his field. In 13 years of his practice he has gained a lot of trust from his patients and respect from his colleagues. He currently practices at 3 Senses ENT & Clinic and Artemis Hospital. He is also member with Association of Otolaryngologist of India. The ENT services provided by him are Cochlear Implant, Hearing Aid Fitting, Speech and Hearing Impairment, throat and nasal disorder treatment. He is well aware of the advancement medical technologies and treats his patients with a lot of commitment and care.
4. Dr. Shashidhar TB
MBBS, MS - ENT, Certificate in Pediatric Otolaryngology - Head and Neck Surgery, ECFMG (USA),
Robotic Surgery Familiarization (France)
Consultation fees: ₹800-1000
Dr. Shashidhar is renowned ENT specialist currently practicing in Gurgaon. He has 13 years of national and international experience. His area of interest is robotic surgery. Other than he specialties in reconstructive middle ear surgery, septorhinoplasty, laryngoscopy and salivary gland surgery. He is known for his diagnoses skill and has been awarded with many prizes like Best Paper Award (Runner Up) In International Pediatric Otolaryngology Conference , Winner of Prestigious Delhi State and All India ENT Residents Quiz and the Winner of GSK all India Medimind Medical Quiz. he is a member of the Haryana Medical Council.
5. Dr. Manish Prakash
MBBS, MS-ENT, DNB (ENT), DOHNS(LONDON)
Consultation fees: ₹600
Dr Manish Prakash is one of the leading ENT surgeons in Gurgaon. He has 20 years of experience and is a Life Member of Association of Otolaryngologists India, Member of the National Academy of Medical Sciences, a Life Member of the India Medical Association and a Life Member of IMA Gurgaon. He is currently affiliated with Mayom Hospital in Gurgaon. He specialises in foreign body removal, fitting of hearing aids, nosebleed treatment, tonsillitis, canalith repositioning, functional endoscopic sinus surgery and treatment of deviated septums.
6. Dr. Amitabh Malik
MS - ENT, MBBS
Consultation fees: ₹700
Dr. Amitabh Malik is currently practices at Paras Hospital, Gurgaon. He has 18 years of practice in the field of ENT. His areas of special interest are pediatric ENT, Micro Ear, Micro Laryngeal, and Endoscopic Sinus. He has successfully conducted number of ENT surgeries and specializes in cochlear implantation.
7. Dr. Vineet Chadha
MBBS, MS - ENT
Consultation fees:₹500 - 1000
Dr Vineet Chadha is a renowned ENT specialist in Gurgaon and a senior ENT consultant at the Fortis Memorial Research Institute in Gurgaon. In 10 years of his practice he reconstructive middle ear surgery, nasal endoscopy, treatment for Obstructive Sleep Apnea, cochlear implants, fitting patient’s hearing aid, treating laryngeal cancer and treatment for sinus disorder.
8. Dr. Sarika Verma
MBBS, DNB - ENT
Consultation fees: ₹600 - 800
Dr. Sarika Verma is an ENT Surgeon and Allergy Specialist with 15 years of experience. In 15 years she has done more than 850 allergy tests by and has treated several patients with allergy vaccination or immunotherapy. Some of her other areas of specialisations are functional endoscopic sinus surgery (FESS), Micro Ear surgery, Microlaryngeal surgery(MLS), tonsillectomy, endoscopic adenoidectomy and thyroid surgery. She is a member of various ENT National and state level associations.
9. Dr. Harmeet Singh Pasricha
DNB (ENT), MBBS, MNAMS - Otorhinolaryngology
Consultation fees: ₹500 - 800
Dr. Harmeet Singh Pasricha is a renowned consultant Otorhinolaryngologist (Ear, Nose & Throat). Dr. Pasricha has 19 years of experience and has been associated with some prestigious hospitals like Indraprastha Apollo Hospital and Sri Ganga Ram Hospital. He is currently practicing at his own clinic the Pasricha ENT & Eye Care Centre, Gurgaon as a medical director and is a visiting consultant at Metro Hospital & Heart Institute, Palam Vihar and Columbia Asia Hospital, Palam Vihar. His areas of interest include Microsurgery of the Ear, Endoscopic Sinus Surgery and Micro Laryngeal Surgery.
10. Dr. Sunil Aggarwal
MBBS, MS - ENT, DNB
Consultation fees: ₹500
Dr. Sunil has more than 16 years of professional experience as an ENT Specialist he is a trusted name and is known for his diagnosing skills and treating all kinds of disorders that affect the ears, nose and throat, as well as related structures such as the head and neck. His keen areas of interest are hearing loss, tonsil troubles, hay fever, sore throat and sleep apnoea, etc. he is a senior consultant with Paras Hospital in Gurgaon.