Salivary gland endoscopy and minimally invasive surgery

Oded Nahlieli

Research output: Chapter in Book/Report/Conference proceedingChapter

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.

Original languageEnglish
Title of host publicationMinimally Invasive Oral and Maxillofacial Surgery
EditorsOded Nahlieli
PublisherSpringer Berlin Heidelberg
Pages117-144
Number of pages28
ISBN (Electronic)9783662545928
ISBN (Print)9783662545904
DOIs
StatePublished - 12 Dec 2017

ASJC Scopus subject areas

  • General Medicine
  • General Dentistry

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