Instrumentation
The ability to perform this technique is the result of the development of miniaturized endoscopic imaging tools. The majority of sialoendoscopes that are currently in use are of the semirigid type. The semirigid endoscope allows for visualization of the diseased process, but the stiffness allows manipulation and navigation of the internal salivary anatomy.
Multiple types of micro instrumentation are available, including grasping forceps, biopsy forceps, drills, needles, laser fibers, and lithotripters (although the last is currently unavailable in the US pending U.S. Food and Drug Administration approval). Multiple companies make various types of sialoendoscopes and instrumentation. There are advantages and disadvantages to all of the systems and none are recommend over the other. Different practitioners utilize different systems due to the experience and clinical training of the surgeon.
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