Only Advanced Salivary Gland Surgery Center in Florida
Tampa General Hospital’s Center for Advanced Salivary Gland Surgery is the only one of its kind in the state of Florida, providing comprehensive, state-of-the-art care for all benign and malignant salivary gland disorders.
Led by director Dr. Matthew Mifsud, center specialists evaluate patients for a variety of both common and rare conditions, including, Xerostomia (aka dry mouth), salivary gland infections, parotid gland tumors, and facial nerve paralysis. From in-office ultrasonography and Botox injections to fine needle aspiration biopsies and minimally invasive salivary endoscopies, patients have access to a range of treatment options.
High Volume Experts
TGH and USF Health specialists are unique in their ability to provide comprehensive surgical care for all salivary conditions ranging from inflammatory disorders to cancers. TGH and USF Health perform multiple salivary procedures each week with greater than 100 surgeries performed yearly, including:
- High Definition salivary endoscopy.
- Gland-sparing treatments used to address disorders such as Sjogren’s syndrome, salivary stones, radiation-induced parotitis or chronic
salivary pain, all performed without external incisions.
- Minimally invasive parotid surgery, which allows tumor removal with more limited facial nerve dissection and enhanced aesthetic result.
- Complex salivary cancer resections combined with post-operative, microvascular reconstruction and reanimation surgeries.
Minimally Invasive Salivary Endoscopy for Salivary Gland Disease
TTGH and USF Health’s Center for Advanced Salivary Gland Surgery offers minimally invasive salivary endo- scopy, a preferred treatment option for patients with chronic sialadenitis (inflammation of the salivary gland).
TGH and USF Health’s Center for Advanced Salivary Gland Surgery offers minimally invasive salivary endo- scopy, a preferred treatment option for patients with chronic sialadenitis (inflammation of the salivary gland). During this procedure, a small endoscope is inserted into the salivary duct, allowing specialists a full view of the salivary gland and facilitating treatment based on the disease encountered. This includes removal of stones up to 5 millimeters, dilation of ductal strictures and steroid injections. Salivary endoscopy can be combined with transoral sialodochoplasty to remove larger stones, reducing morbidity and risk compared with a standard open approach.
Salivary endoscopy is highly successful for curing symptoms of salivary gland obstruction, with a more than 90% success rate for salivary stones and a 75%-90% success rate for inflammatory disorders.
Salivary Gland Surgery For Cancer Patients
The Center for Advanced Salivary Gland Surgery is a primary referral center for treatment, even when patients are receiving care for other conditions else- where. The center recently received a referral for a female breast cancer patient undergoing care at a nearby facility. In the setting of her cancer therapy, she began to develop swelling in the parotid gland and needed the unique expertise available at TGH and USF Health.
Specialists identified the cause of her symptoms as a stone within the parotid duct that was causing obstruction. A transoral, minimally invasive procedure was planned. Using salivary endoscopes, the stone was visualized in the duct system and then removed. Damage to the duct caused by this stone was then repaired, ensuring normal salivary flow would be possible. Intraoperatively, the gland was further treated with a Botox injection to promote healing. In the six months since surgery, the patient has been symptom-free, without dry mouth or swelling.