Management of salivary gland disease
The oral and maxillofacial surgery department at Guy’s Hospital has specialised in the development of new techniques to preserve the major salivary glands over the last 10 years.
The current standard of practice for obstructive salivary gland disease is to have the offending gland removed. The common causes of obstruction are salivary stones (80%) and strictures (20%). Stagnant saliva, much like blood, will clot and the gel formed will not pass through strictured areas so causing obstruction.
How the service operates
We have tiny endoscopes which allow us to examine the salivary ducts directly and retrieve small stones using baskets. We also now use a small handheld lithotripter; a small wire passed along the endoscope to touch the stone can transmit a shockwave which will break the calculus and allow the fragments to be extracted. This means that stones up to 5-6mm can be retrieved under local anaesthetic.
For larger stones, we have developed surgical techniques that allow us to use the endoscope to direct the surgeon onto the stone so that the stone can be relieved and a functioning gland retained.
Our results with both basket and surgical retrieval have been published. We have completely changed the standard of care. Rather than 100% of glands being removed we now only remove 3%. No similar comprehensive service is available in the UK.
How to refer
By letter to:
Professor Mark McGurk
Department of Oral and Maxillofacial Surgery
3rd Floor, Bermondsey Wing
London SE1 9RT
Please note that a Choose and Book pathway is not available for this service.
For further information please contact Ms Sandi Marzieh (PA to Prof McGurk) on 020 7188 4349 or email email@example.com.