Salivary Gland Disease #1: Salivary Stones and Sialendoscopy

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.

View All Posts

View Dr. Ryan Osborne’s television appearance on The Doctors below:

Los Angeles Parotid Surgeon, Dr. Ryan Osborne
Dr. Ryan Osborne, director of the Division of Head & Neck at the Osborne Head & Neck Institute

Recently, Dr. Ryan F. Osborne, Director of the Division of Head and Neck at the Osborne Head and Neck Institute, was featured on The Doctors show regarding treatment of salivary gland stones and sialendoscopy within the parotid and submandibular glands. Salivary gland stone (Sialolithiasis) is a disease that affects 12 out of every 1,000 individuals.

It is the most common disease of the salivary glands and can be very uncomfortable for the patients. As the name implies, the salivary glands are located along the cheeks (parotid glands) and under the jaw (Submandibular glands), produce saliva and secret it into the mouth via ducts. Salivary stones are caused by accumulation of debris in the salivary gland ducts. This prevents saliva from being secreted and causes painful swelling and even infection within the salivary glands.

During The Doctors show, Dr. Osborne pointed out that sometimes we can pass the stones just as we would pass a kidney stone. We can help this along by placing warm compresses over the gland, massaging the gland and using sour material (Sialogogues) to increase flow of saliva. This, however, does not work in all cases. Traditionally, the next step would have been to remove the salivary gland as a whole. As Dr. Osborne suggested, although effective this method causes cosmetic deformities, risks to nerves and muscles and in most cases is an over-kill.

Dr. Osborne has been on the forefront of a revolutionary treatment for salivary gland stones that has almost eliminated the need for aggressive surgery. This procedure is called sialendoscopy and uses small cameras to examine the duct and specialized tools to remove the stones without removing the gland. For more information about salivary gland stones and sialendoscopy you can visit our website

A message from Dr. Ryan Osborne, Director of the Division of Head and Neck at the Osborne Head and Neck Institute.

“I know that salivary gland stones can be uncomfortable and painful for most patients. I have found sialendoscopy to be an excellent treatment method that has saved countless number of my patients from having to undergo an extensive treatment. As an informed patient you owe it to yourself to explore all of your options and if you suffer from salivary gland stones you should learn more about this procedure. I hope that you will use us as a resource, even if you choose to have your procedure elsewhere. I look forward to hearing from you.”

To learn more about Dr. Ryan Osborne or salivary stones, visit:

Contact a Physician at Osborne Head & Neck Institute

If you would like to speak with one of our physicians regarding this issue or another ear, nose, throat problem; or have other questions or concerns, please complete the contact form below or call us at 310-657-0123.

  • Phone and video consults are held Monday-Friday between 4:00-5:00pm PST for the Americas and 12:00pm-1:00pm PST for Europe, Asia, Africa, and Australia.
  • Please choose your preferred consultation: phone, in-office, or video consultation.