Salivary Gland Washout
What is this procedure?
A salivary gland washout is a simple procedure used to flush the salivary ducts with sterile saline or a steroid solution. It helps clear blockages such as mucus, debris, or small stones and can reduce inflammation inside the duct. The procedure is usually performed using a small catheter placed at the opening of the salivary duct.
Why is it done?
This treatment is used for:
- Recurrent swelling of the salivary glands – often related to partial blockages or inflammation.
- Mucus plugs or small stones – to help clear the duct and improve saliva flow.
- Chronic sialadenitis or Sjogren’s – to reduce inflammation and improve symptoms.
- Post-infection ductal irritation – to help restore normal gland function.
What happens during the procedure?
- You will be lying comfortably.
- The doctor will identify the opening of the salivary duct inside your mouth.
- A tiny catheter or dilator is gently inserted into the duct.
- The duct is flushed with saline, or a small amount of steroid solution may be added to reduce inflammation.
- You may feel pressure or fullness in the area, but it should not be painful.
- The procedure usually takes 10–20 minutes.
After the procedure
- You can go home immediately afterwards.
- Your mouth may feel slightly sore or numb for a short time.
- Aim to stay hydrated and consume sour foods to encourage saliva flow.
- Mild swelling can occur but usually settles within 24–48 hours.
Benefits
- Helps clear blockages and improve saliva flow
- Reduces gland swelling and discomfort
- Minimally invasive
- Can be repeated if needed
- Often avoids more invasive procedures
Possible risks
These are uncommon and usually mild:
- Temporary discomfort or swelling
- Minor bleeding from the duct opening
- Infection (rare)
- Very rarely, temporary narrowing or irritation of the duct
Follow-up
You will be offered a follow-up appointment to assess your symptoms and decide if further treatment is required.
