In this issue
Focus on Evelina London Children's Healthcare
A message from the Evelina London Medical Director
Children’s Assessment and Referral Service (CARS)
Community paediatric physiotherapy service
The Children and Young People’s Health Partnership: an update
Community speech and language therapy service
Tongue tie clinic expansion
Family nurse partnership helps teenage parents
Health visiting extended service
Improving health outcomes for Looked After children
Kids Sleep Dr app launched
Specialist rheumatology evening clinics for adolescents and young adults
Cow’s milk protein allergy update
Latest news
Adult Local Services – at the heart of our community
Treatment options for fibroids – helping patients to make an informed choice
Download the DynaMed app for quick access to clinical topic summaries
GP survey – Unified Point of Access for @home & Enhanced Rapid Response
Service updates
Guy’s and St Thomas’ Maternity Services
Management of salivary gland disease
Clinical updates
How to apply emollients for eczema
Pathology updates from Viapath
Pathology updates from Viapath
Training and events
Working alone in people’s homes: The rewards and challenges of community care
Common back and spinal problems in primary care
Free maternity update at Guy’s Hospital
Free gynaecology update for GPs at Guy’s Hospital
Training and events
SAGE & THYME - a free 3 hour workshop on recognising and managing distress
5th Annual Anogenital and Oral Dermatology Course
Skin Biopsy Course
Bespoke education programme for teenagers with atopic eczema
Delirium and Dementia
King’s Health Partners Clinical Health Psychology Conference
Adult Metabolic Study Day
Private patient services
Private physiotherapy service
Contact
Alex Risorto
Alex.Risorto@gstt.nhs.uk
Tel: 020 7188 4978
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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

Guy's Hospital

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 marzieh.sandi@gstt.nhs.uk.

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