Classification of Salivary Gland Disorders

Purpose of Review To offer a fresh perspective on the evolving management of salivary gland disease by introducing a sequence of articles organized by a classification system grouping disorders by etiology. Recent Findings Sialendoscopy has been successful in improving the management of salivary gland disease. This endoscopic approach to imaging and instrumentation of the salivary duct system has been a focal point of recent discussion. The overall management of salivary pain and swelling as well as xerostomia and sialorrhea has improved through additional treatment options including increased application non-surgical office techniques ranging from intraductal infusions to botulinum toxin injections. Refinements in radiographic as well as serologic and histopathologic assessment have restructured the understanding of and the approach to these clinical problems. Summary A classification system organized by etiology of salivary gland swelling provides structure to a collection of articles offering updates. Contemporary knowledge addressing underlying pathophysiology is provided through separate articles organized into a classification system designed to demystify the confusing assortment of terms that describe salivary disorders. This review additionally identifies the emergence of a subspecialty populated by salivary gland experts who have mastered the complex equipment, technology, and knowledge base required to provide state-of-art management.