New micro-endoscopes are less than 1mm
in diameter and allow excellent visualisation of the salivary
duct system. Micro-instruments such as baskets, drills and balloons can be passed
through the endoscopes to target strictures.
two approaches, both provided in the outpatient setting under local
assisted dilation of stricture
endoscope is introduced into the salivary duct. Mild strictures can be
dilated flushing the duct with a saline solution under pressure. Tighter
strictures can be opened will a small hand drill or by a small balloon that can be inflated within the stricture.
Endoscopes can guide lights,
cameras and surgical instruments to the problem area
There are many sizes and
types of endoscope...
Balloon dilator can be
carried to the stricture with an endoscope and inflated at the
site to stretch the duct.