title: Sialendoscopy as a management tool in patients with foreign body impaction of the salivary gland.
abstract: OBJECTIVE
  It has been long known that sialendoscopy has both diagnostic and therapeutic benefits in the identification and treatment of sialadenitis. Sialendoscopy can also be used to triage patients with traumatic injury or foreign bodies lodged in the parotid gland.
  
  
  METHODS
  We present a case of traumatic insertion a fishbone into the parotid gland parenchyma that was evaluated with sialendoscopy and successfully managed on the basis of stable endoscopy findings that correlated with improving symptomatology.
  
  
  RESULTS
  We find that sialendoscopy presents a useful tool to help guide management.
  
  
  CONCLUSIONS
  We demonstrate that in an asymptomatic patient, foreign body impaction with absence of ductal obstruction on endoscopy can successfully be followed with simple observation.
authors.affiliation: School of Medicine, The George Washington University, 2300 Eye Street, NW, Washington, DC.
authors.forename: Amarbir S
authors.initials: AS
authors.lastname: Gill
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, Ohio Health Doctors Hospital, 5100 W Broad Street, Columbus, OH. Electronic address: ckieliszak@gmail.com.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Kieliszak
authors.affiliation: Division of Otolaryngology Head and Neck Surgery, The George Washington University, 2021 K Street NW #206, Washington, DC.
authors.forename: Arjun S
authors.initials: AS
authors.lastname: Joshi
mesh_terms: D000328:Adult; D004724:Endoscopy; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D010306:Parotid Gland / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography