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Meet Dr. Larian

Dr. Babak Larian, the Chairman and Director of the CENTER for Advanced Parotid Surgery in Los Angeles, is a highly experienced and reputable board-certified surgeon...
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Out Of Town Patients

Dr. Babak Larian is a world-renowned parotid gland surgeon in Beverly Hills, California, who regularly treats patients from all over the country. Fortunately, Beverly Hills has a lot to offer our out-of-town patients.



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  • Do Salivary Stones Require Surgery?
    Salivary gland stones, or sialolithiasis, are small calcium deposits that block the flow of saliva, which if not removed can lead to swelling of the salivary gland, inflammation, infection, Read more >
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    Many people have experienced swollen glands at some point in their lives. However, if you have a lump close to your ear that lingers for more than a couple weeks, Read more >
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Salivary Gland SurgerySuffering from salivary gland stones and frequent infections can be a painful process. However, at the CENTER for Advanced Parotid Surgery in Los Angeles, Dr. Larian and his team of expert salivary gland specialists use the most advanced minimally invasive endoscopic salivary gland surgery procedures to rid individuals of salivary stones in an effective and safe treatment that promotes a prompt improvement in quality of life.

What Is A Salivary Stone?

A parotid stone occurs when chemicals, debris, and calcium form a small rock like object that becomes lodged in one of the three sets of salivary glands in the mouth. This can be very uncomfortable for the individual affected with the stone, as it becomes difficult for saliva to pass by as the stone is blocking the ducts. The stones can vary in size and shape Salivary Gland Stonesand usually have the feeling of a hard sponge.

You might be experiencing a salivary gland stone if you’re noticing any of the following symptoms, including but not limited to:

  • Swelling in the on the side of the face or neck, especially after eating
  • Dry mouth
  • Repeated parotid gland infections and swelling
  • Fever or chills

There are several factors that can contribute to the formation of salivary gland stones, including but not limited to:

  • Thickened saliva
  • Dehydration
  • Certain medication (blood pressure medications, antihistamines, etc.)
  • Trauma to salivary glands

Undergoing Endoscopic Salivary Gland Surgery With Dr. Larian

Sialendoscopy, or salivary gland surgery, is performed when a patient needs a salivary gland stone removed. The stone may either be located in the submandibular glands or parotid glands, though stones in the submandibular glands are much more common. Usually the stones are in the ducts of the gland which can be removed by Sialendoscopy. Sometimes the stones form in the substance of the gland and not in the duct and those can only be removed by surgically taking out the gland.

Salivary Stone in BasketMinimally invasive endoscopic salivary gland surgery, where salivary stones are removed, is also known as sialendoscopy. It has become the surgical standard for treating salivary gland stones, as the procedure can be performed as an outpatient treatment and is relatively quick and painless. During the procedure, a very thin specialized endoscope is used to enter the duct of the gland, find the stone. Once found, the stone is grasped with a thin metal basket and pulled out. The procedure is quick, and the patient often returns home within an hour of its completion. When a patient undergoes a sialendoscopy, they will enjoy several benefits, including:

  • Easy & Quick Recovery
  • No Tissue Damage To Surrounding areas
  • No External Scarring

Undergoing a sialendoscopy or salivary gland surgery is truly revolutionary, as the procedure helps to spare partial or full removal of the salivary glands. Throughout the entire procedure, a team of medical experts will be assisting Dr. Larian to ensure that the best care is given to the patient at all times.

Endoscopic Salivary Stone Surgery FAQ

To help individuals better understand whether or not they may have a salivary gland stone, and the proper treatment, Dr. Larian has compiled a list of the most frequently asked questions that we at the CENTER for Advanced Parotid Surgery hear often.

Q: Who should perform salivary stone surgery?

A: A board certified head and neck surgeon is always most qualified to perform salivary stone removal, as they have the highest level of knowledge pertaining to your condition. In addition, having experience with Sialoendoscopy is very important. Dr. Larian has a unique knowledge of the parotid and salivary glands that are prone to stones.

Q: Does endoscopic salivary stone removal require anesthesia?

A: Yes, the procedure does require anesthesia. It is usually done under general anesthesia because it can be difficult to anesthetize the duct and gland. This will ease any discomfort that the patient may experience during the procedure, but also wears off quickly once the surgery has been completed.

Q: How long is the recovery time after sialoendoscopy?

A: Sialoendoscopy is an extremely quick and easy procedure to recover from. Upon leaving the operating room after your procedure, it’s normal to notice an improvement in symptoms including pain and swelling immediately. A full recovery is to be expected in about a weeks time. You can immediately eat and talk after surgery.

Q: Will I develop more salivary stones in my life?

A: This is difficult to say. Some individuals may experience only one stone in their lifetime, while others may be more prone to salivary gland stones and infections. If you get one stone the chances of getting another is higher, and therefore you have to increase your fluid intake as a preventative measure. For some, salivary stone surgery is the best way to limit the number of stones developed in the future.

Q: Are there any precautions that I can take to limit future salivary stones?

A: Practicing good oral hygiene and drinking plenty of water can help limit the number of stones you may experience in the future, though unfortunately they can still occur with impeccable oral care and proper fluid intake, however the chance of it occurring will be less.

Schedule Your Consultation With Dr. Larian Today

Salivary stones can be easily overcome through a number of different non-invasive and minimally invasive surgeries, and to determine which would be best for you, we encourage you to contact the CENTER for Advanced Parotid Surgery today to schedule your initial consultation with world-renowned salivary gland surgeon Babak Larian, MD, FACS, and his team of specialists. When Dr. Larian is able to examine you in person, he can develop a plan of treatment that will be completely customized to meet your needs and bring you the best results possible.

To learn more about undergoing endoscopic salivary stone removal in Los Angeles with Dr. Larian, please call 888.574.0178.

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Clinical Chief of Division of Otolaryngology at Cedars-Sinai
Assistant Clinical Professor of Surgery at UCLA