New era of Endoscopic Approach for Sialolithiasis: Sialendoscopy.

Sialendoscopy is one of the innovations introduced in the last few years in the field of otolaryngology, head and neck surgery. Sialolithiasis and sialadenitis are two of the most frequently presenting disorders of the salivary glands. The diagnosis is most frequently confirmed by radiology and the treatment of sialolithiasis ranges from the use of surgery, intra-oral extraction or external lithotripsy, to the more frequent external excision of the gland. Sialendoscopy uses minimal invasive surgical techniques which allows for optical exploration of the salivary ductal system and extraction of the stones by a basket under endoscopic view. Sialendoscopy incorporates diagnostic with therapeutic procedures, as dictated by the clinical findings. This technique can be performed in most cases as an ambulatory, outpatient procedure under local anaesthesia.