Sialendoscopy – Non-Surgical Treatment of Salivary Gland Stones

About Dr. Ryan Osborne

Ryan F. Osborne, M.D. is the Director of Head and Neck Surgery at OHNI and is an internationally renowned expert in head and neck oncology. He has developed a special interest for the treatment of parotid gland tumors and focuses on the use of minimally-invasive techniques in the care of patients needing parotid surgery.

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About Dr. Jason Hamilton

Jason S. Hamilton, M.D. is the Director of Plastic and Reconstructive Surgery for the Osborne Head and Neck Institute based at Cedar-Sinai Medical Towers. Dr. Hamilton has advanced training in plastic and reconstructive surgical techniques involving the face, head, and neck, and limits his practice to the treatment of these areas exclusively.

Dr. Ryan Osborne, Director of Head & Neck Surgery and Salivary Gland Disorders, at the Osborne Head & Neck Institute, specializes in the non-surgical removal of salivary gland stones causing swelling and infection of the major salivary glands.

This is accomplished through a minimally invasive outpatient endoscopic procedure called sialendoscopy that requires no surgical incisions, leaves no scars, and carries a zero percent risk of facial nerve paralysis. He is one of a hand full of surgeons in the world that have championed the use sialendoscopy for the safe removal of salivary gland stones, avoiding invasive surgical procedures that are quickly becoming seen as archaic and obsolete by this new technique.

Dr. Ryan Osborne is currently performing 15-20 outpatient procedures per week on patients from across the globe saving many patients from unnecessary invasive surgeries, hospitalizations, and facial nerve paralysis.  If you are interested in treatment for salivary gland stones and do not want to have surgery to remove your entire salivary gland or are concerned about facial paralysis associated with traditional surgical techniques please see the basic information below about salivary gland stone treatment and fill out the contact form to schedule a call back from our office.  Most patients fly into Los Angeles, have their procedure and fly out the next day.  Remember it is no longer necessary to remove your entire salivary gland if the stones are removed in a timely fashion. Contact us now.

Treatment at the Osborne Head & Neck Institute

Sialendoscopy Procedure:

Salivary gland remains intact and functional

  • No facial or neck incisions
  • No scars
  • No facial nerve paralysis

Traditional Surgery:

Entire salivary gland is surgical removed

  • Facial or neck incision required
  • Risk of scars
  • Risk of facial nerve paralysis

Animated video of Sialendoscopy Procedure:


Figure 1. Salivary gland stone right submandibular gland salivary

Figure 2. Salivary Gland stone visualized within the salivary duct

Figure 3. Salivary duct stone after extraction from the duct.


Sialendoscopy demonstrating the removal of several stones with wire basket:


Sialendoscopy- delivery three salivary stone from the nature duct opening via wire basket extraction:

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