At Home with Chris Jessen 2018 - 164
A new way
The latest minimally invasive
techniques offer a welcome
relief to those with blocked
nything that blocks the
flow of saliva is considered
an obstruction. It is usually
caused by a calculus (stone)
or a stricture (narrowing) of the duct,
or tube. A facial swelling in front of the
ear or a neck swelling below the jaw
are common signs and these are often
more noticeable after eating a meal
What are salivary gland
Obstruction of the duct that connects
the salivary gland to the mouth can
result in a serious infection of the
main salivary glands (the parotid and
submandibular glands), which can
involve a high fever, severe pain
and further swelling.
Two of the most common disorders
of the salivary glands are sialolithiasis
(salivary stones) and sialadenitis
(infection of the salivary glands).
Around 60 new cases per million people
are diagnosed in the UK each year.
Until recently, doctors recommended
conservative management (hydration
with analgesia, for example) or in
some cases, open surgery. However,
sialendoscopy is one of the key
innovations of the past few years in
the field of head and neck surgery.
It combines diagnostic and therapeutic
techniques into a single procedure.
Minimally invasive surgical techniques
allow for optical internal exploration of
the salivary system of ducts, and
depending on the findings, treatment
can be undertaken during the same
procedure. For example, under direct
endoscopic view, stones can be
extracted and strictures dilated.
MEET THE EXPERT
Why minimally invasive?
MD, DDS, PhD,
is a consultant
oral surgeon and
Mr Karavidas has a special interest
in sialendoscopy (minimally invasive
salivary gland surgery) and the
reconstruction of facial defects
using virtual surgical planning.
He trained at major salivary centres
in London and Geneva and was a head
and neck fellow at University College
Hospital, prior to his current post
at Luton and Dunstable University
Hospital. He also runs clinics at the New
QEII Hospital in Welwyn Garden City
and the Lister Hospital in Stevenage,
and private clincis in Spire Harpenden,
Pinehill and One Hatfield Hospitals.
Patients should consider an endoscopic
approach to their treatment because:
The gland and its function are preserved
Recovery times are faster
The technique spares the nerves.
Why avoid open surgery?
Avoiding open surgery when possible
is advisable because:
The gland and its function is lost
Facial paralysis is a risk
Facial appearance can change owing
to the loss of volume after gland removal
There will be scarring.
FOR MORE INFORMATION
Call 07484 849 381