Clinic and Policlinic for Ear, Nose and Throat Medicine
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Salivary gland diseases affect the auricular, submandibular and sublingual salivary glands. The conservative and surgical treatment of these diseases is one of our clinic's proven areas of specialisation.
Diagnostics
The diagnosis is made by means of high-resolution sonography using the latest ultrasound equipment and - if necessary - magnetic resonance imaging (MRI) or computer tomography (CT).
In selected cases, a tissue sample is taken before the actual salivary gland surgery using an ultrasound-controlled needle biopsy under local anaesthetic. This procedure enables us to plan your therapy optimally and avoid follow-up surgeries.
Therapy
Our team of highly qualified ENT specialists is experienced in drug therapy, procedures under local anaesthetic and various surgical procedures. In the case of salivary gland inflammation and salivary stones as well as benign salivary gland tumours, we always attach great importance to preserving the salivary gland.
We also aim to preserve the salivary gland in obstructive (constrictive) and chronic inflammatory salivary gland diseases. This is why we use minimally invasive treatment methods (keyhole surgery). Salivary duct endoscopy, for example, allows both diagnosis and intervention at the same time.
Salivary stones
In the case of salivary stones, the location and size also determine the appropriate treatment method. In most cases, our experienced surgeons can remove the stones either with an endoscope and the aid of a catch basket or by opening the duct of the salivary gland via the mouth.
Stuck larger stones require reduction or fragmentation via the duct system of the salivary gland. In medical terminology, the procedure is called endoscopic pneumatic lithotripsy. In medical terminology, the procedure is called endoscopic pneumatic lithotripsy.
If you have any further questions or would like detailed advice, please make an appointment during our consultation hours.
Appointments +49941 944-9442 every Friday from 8:00 - 12:00 a.m.
Tumours of the salivary gland are usually benign. The main aim of our specialised surgeons is to protect the facial nerve and achieve an aesthetic result.
Monitoring of the facial nerve (neuromonitoring)
During the procedure, the facial nerve is therefore specially monitored using neuromonitoring. In addition, microscopic techniques are used and minimally invasive approaches are utilised.
Particularly gentle: extracapsular dissection
The different surgical principles of the clinic are the so-called extracapsular dissection, the partial or total removal of the gland. The procedure that is ultimately suitable for the individual patient depends largely on the anatomical location of the ulcer within the gland and the principle of sparing the nerves. The risk of permanent and temporary facial nerve weakness can be reduced, particularly in the case of extracapsular dissection, as can postoperative wound healing disorders (salivary fistula to the skin).
Depending on the anatomical location of the ulcer within the gland and the principle of sparing the nerves, partial or complete removal of the gland can also be considered. Our ENT specialists weigh up the most suitable procedure for each patient individually.
Particularly in the case of extracapsular dissection, the risk of permanent and temporary facial nerve weakness can be reduced, as can postoperative wound healing disorders (salivary fistula to the skin). Extracapsular dissection results in a gentle procedure.
Malignant salivary gland tumours
Even in the case of malignant salivary gland tumours, in addition to the complete removal of the tumour, including removal of the gland and the adjacent lymph nodes, the top priority is to protect the facial nerve. If possible, therapy is always carried out while preserving the “facial nerve”.
If the facial nerve has to be removed in the case of aggressive tumours, microsurgical procedures are available to reconstruct the nerve as well as numerous plastic-reconstructive techniques to restore the function and aesthetics of the face (see also head and neck tumour surgery).
If you have any further questions about the risks of the procedure or would like a detailed consultation, please make an appointment at our consultation centre.
Appointments +49941 944-9410
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