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Head and Neck Surgery

Parotidectomy: Deep vs Superficial Lobe

by Rafael Enciso
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What is the Parotid Gland? The parotid gland is a bilateral salivary gland, located on either sides of the mouth and in front of both ears, anatomically it is shaped like an upside-down triangle and lies in front of and below the opening of the ear canal. The facial nerve, which runs through the parotid […]

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Accessory Parotid Gland Tumor Surgery

by Dr. Ryan Osborne
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  Is there an alternative to parotidectomy for accessory parotid gland tumor surgery? Question: I recently made an appointment with my primary care physician because I began to experience swelling of my cheek. After some tests and imaging I was told that I had a mass growing near my parotid gland. My doctor referred me […]

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Sialendoscopy: Removal of Large Stones

by Dr. Ryan Osborne
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  Can large salivary gland stones be removed without surgery? Question: A few weeks ago I started to have pain and swelling along my lower jaw during eating. I also noticed that my mouth was drier than usual. I went to my doctor and he said that I most likely had a salivary gland issue. […]

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Options After Unsuccessful Sialendoscopy

by Dr. Ryan Osborne
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Can I avoid surgery after a failed sialendoscopy? Question: I have a long history of salivary gland stones and conventional treatments have become ineffective. Recently I developed a large stone in my parotid gland that was unsuccessfully treated with sialendoscopy. I have been told that surgery is now the most suitable option due to the […]

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Endoscopic Minimally Invasive Thyroidectomy

by Dr. Ryan Osborne
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  Can unsightly thyroidectomy scars be avoided? Question: Over the past year I have developed symptoms of sweating, palpitations, high blood pressure and anxiety that my physician has said are due to an overactive thyroid gland. Recently, I have begun to develop a sensation of fullness in my throat, sometimes making it difficult to breathe. […]

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Salivary Gland Infections in Children – Sialadenitis

by Dr. Ryan Osborne
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How do you treat a salivary gland infection in a child? Question: My daughter has a painful, swollen red cheek and a mild temperature. She doesn’t want to eat because she says it hurts to eat and to chew. Her pediatrician has started her on antibiotics for a salivary gland infection.  What is this and […]

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Salivary Gland Problems in Children – Pediatric Sialendoscopy

by Dr. Ryan Osborne
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How do you treat salivary gland infections in children? Question: My son has a painful, swollen red cheek. This has happened twice before and antibiotics have helped but I don’t want my child to keep taking antibiotics.  My pediatrician is suggesting he see a specialist to determine treatment options for a “salivary gland” infection.  What […]

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Frey’s Syndrome – Facial sweating and flushing

by Dr. Jason Hamilton
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  Is Frey’s Syndrome an avoidable surgical complication of parotid surgery? Question: I recently had surgery to have my parotid gland removed. I noticed that a short time after surgery, part of my face began to sweat when I would eat and sometimes even shortly before eating. I also noticed flushing over the same part […]

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Salivary Gland Stones Treatment: Lithotripsy

by Dr. Ryan Osborne
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  Is lithotripsy an option for the treatment of salivary stones? Question: My ENT doctor diagnosed me with “sialolithiasis”, a salivary gland stone. Before my diagnosis, I periodically noticed that I had a drier mouth than usual. I also started to develop swelling and pain in my lower jaw. During my evaluation my doctor pointed […]

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Brooke Burke: Diagnosed with Thyroid Cancer

by Dr. Ryan Osborne
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  Dancing with the Stars alumna, Brooke Burke, recently announced her diagnosis of thyroid cancer.  In a statement she posted on YouTube, she stated: “I need to have thyroid surgery … which means I’m going to have a nice big scar right here across my neck… I don’t get to just walk around and pretend […]

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Adam Yauch and Parotid Cancer: Facts and Myths

by Dr. Ryan Osborne
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  In the wake of the death of Beastie Boys singer Adam Yauch, there have been many questions about parotid cancer.  As a specialist in the treatment of benign and malignant salivary gland disease, this is something that comes into my office on a daily basis.  This tragedy can teach us much about salivary gland […]

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