What Are Salivary Gland Stones?

Salivary gland stones are small mineral deposits, similar in nature to kidney stones, that form within the delicate ducts of your salivary glands. When a stone grows large enough, it can block the flow of saliva. This leads to the classic symptom of "mealtime syndrome": as your gland produces saliva in response to food, it becomes trapped behind the stone, causing a painful, tense swelling in your cheek or under your jaw. This swelling typically subsides slowly after eating, only to recur at the next meal. If a blockage persists, it can cause a painful bacterial infection of the gland (sialadenitis).

Dysphagia swallowing evaluation at ENT Central

Is an Evaluation for Salivary Stones the Right Option for Me?

A specialist evaluation is highly recommended if you experience symptoms that suggest a blockage in your salivary glands. It is the right option for you if you have:

  • Pain and swelling under your jaw or in your cheek that occurs specifically while eating
  • A noticeable lump that appears suddenly with meals and then slowly fades
  • Pain that begins as soon as you think about, smell, or start to eat food
  • Recurrent episodes of painful gland swelling in the same location
  • Symptoms that are temporarily relieved by massaging the affected area
  • Been diagnosed with repeated salivary gland infections
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Swallowing therapy for dysphagia at ENT Central

What Are the Advantages of Seeing a Specialist for Salivary Stones?

Seeking expert care from Dr. Basheeth at ENT Central ensures you receive the most advanced and effective treatment for salivary stones. Benefits include:

  • A precise diagnosis to determine the exact size and location of the stone
  • Access to advanced, minimally invasive sialendoscopy
  • A high likelihood of preserving your natural salivary gland
  • Avoidance of traditional surgery with external incisions
  • Fast and long-lasting relief from painful symptoms that occur during meals
  • Prevention of recurrent and painful gland infections
  • A clear and personalized treatment pathway
  • Faster and more comfortable recovery
  • Complete restoration of normal salivary gland function
  • Specialist care focused on gland-preservation techniques

How Is Sialendoscopy for Stones Different From Traditional Surgery?

The modern approach to removing salivary stones is vastly different from older surgical methods. Traditionally, definitive treatment for a problematic stone often required an external incision on the neck and complete removal of the salivary gland. In contrast, sialendoscopy is a revolutionary, minimally invasive technique where a camera smaller than 2mm wide is passed through the natural opening of the duct. This allows Dr. Basheeth to see the stone directly and remove it with a micro-basket or laser, all without a single external cut and, most importantly, preserving your gland.

Does Recovery After Salivary Stone Removal Take Long?

Recovery time is directly related to the elegance of the treatment method used. For a minimally invasive procedure like sialendoscopy, recovery is remarkably fast, with most patients returning to normal activities and diet almost immediately. If a small incision inside the mouth is needed to access the stone, healing is still very rapid. In the less common event that traditional gland removal is necessary, the recovery period will be longer. Dr. Basheeth will provide a clear and personalized recovery plan based on your specific procedure.

Why Choose Dr. Naveed Basheeth: Excellence in Salivary Stone Treatment

Dr. Naveed Basheeth is an internationally fellowship-trained ENT and Head and Neck surgeon who specializes in the management of salivary gland disorders. He is dedicated to using the least invasive techniques available, including advanced sialendoscopy, with the primary goal of removing the problematic stone while preserving your natural gland function. Trust Dr. Basheeth’s expertise for a modern, effective, and gland-sparing solution to painful salivary stones.

Salivary Gland Stone FAQs

What causes salivary stones to form?

Can I just leave the stone and hope it goes away?

Will stones come back after they are removed?

Is sialendoscopy painful?

What causes salivary stones to form?

The exact cause is not fully understood, but stones are thought to form from the buildup of mineral salts present in saliva. Factors like dehydration, which thickens saliva, and certain medications can slow salivary flow and contribute to the risk of a stone forming.

Can I just leave the stone and hope it goes away?

While a very small stone might pass on its own, leaving a larger, symptomatic stone is not recommended. It will likely cause continued painful mealtime swelling and places you at high risk for developing recurrent, painful bacterial infections in the gland, which can become severe.

Will stones come back after they are removed?

Recurrence of salivary stones is uncommon after they have been completely removed. Dr. Basheeth will provide you with advice on how to reduce your risk, such as maintaining good hydration, to help prevent new stones from forming in the future.

Is sialendoscopy painful?

The procedure is performed under anaesthesia, so you will not feel any pain during it. After the procedure, there may be some minor, temporary swelling or discomfort in the area, but this is typically managed easily and resolves very quickly.

Referral Pathway: We provide online consultations within two weeks of referral for out-of-town residents. Relevant investigations, radiological and laboratory, can be undertaken in the patient's city. Private and outsourced referrals can be sent to: admin@entcentral.co.nz (347) 557-8368.
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