ABSTRACT
To determine the efficacy and safety of sialendoscopy in the treatment of obstructive salivary gland disease in adults. The outcomes extracted from the literature were stone location, size, use of supportive devices, success rates, incidence of sialadenectomy and other complications. Success was defined as being symptom-free and the absence of residual obstruction. The main weakness of this chapter is the heterogeneity that can be inherent in systematic reviews. This includes patient demographic, site and size of stone, and cause of obstruction. The proposed algorithm outlined gland sparing management of sialolithiasis. Sialendoscopy is the suggested first-line approach for the management of submandibular gland stones of less than 5 mm. This is more likely to be successful in proximally placed stones. In the management of parotid gland stones, sialendoscopy is the first-line approach for all stones less than 5 mm and proximal stones of up to 1 cm.
