Sialolithiasis is a treatable condition. Modern minimally invasive techniques can help remove salivary stones while preserving salivary gland function.

With the help of advanced technologies and years of expertise, we are able to successfully treat even the most challenging cases.

My work focuses on modern approaches to the treatment of patients with sialolithiasis. I use a comprehensive range of methods, including extracorporeal lithotripsy, endoscopic stone removal, and surgical intervention. Minimally invasive techniques, such as extracorporeal stone fragmentation and endoscopic stone removal, help avoid extensive surgeries. Surgical intervention is reserved only for complex cases in order to minimize risks and reduce recovery time.

I am the author of three patents for inventions and over 100 scientific articles and publications dedicated to the treatment of sialolithiasis. I regularly conduct master classes for colleagues and train young specialists in advanced treatment protocols and modern clinical approaches

My work philosophy is centered on addressing not only the symptoms of the disease but also its underlying causes. I believe in a personalized treatment approach, where each patient receives an individualized management plan that takes into account anatomical characteristics, lifestyle factors, and comorbid conditions.

My goal is to ensure the most comfortable treatment experience possible, while reducing recovery time and preserving salivary gland function. I take pride in the fact that my work helps patients overcome pain, restore their health, and return to a fulfilling quality of life.

Sialolithiasis is not a hopeless diagnosis

With the help of advanced technologies and years of expertise, we are able to successfully treat even the most challenging cases.

I am Magomed Rasulovich Abdusalаmov.

I am a professor and a leading expert in the field of sialolithiasis treatment, with over 30 years of clinical experience. My primary specialization is the diagnosis and organ-preserving management of patients with salivary gland stones. Throughout my career, I have helped more than 2,000 patients restore their health, relieving discomfort and improving their quality of life.

Gland-preserving approach

Pain-free treatment

Advanced diagnostic techniques

Accelerated recovery

Достижения и профессиональный опыт

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лечебной практики
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установленных имплантов
Автор метода дробления слюнных камней (сиалолитотрипсии)
Разработчик новых методов диагностики и хирургического вмешательства на слюнных железах
Прошел обучение и стажировки в ведущих медицинских учреждениях Германии, Франции и США.
Активно сотрудничает с зарубежными коллегами, что позволило подписать Меморандум о сотрудничестве с Университетом Мэриленда (США), где регулярно читает лекции для студентов и специалистов.
Основные направления в работе — это имплантология, костно-пластические операции и лечение заболеваний слюнных желез.
Symptoms and stages of sialolithiasis

How does sialolithiasis present?

The clinical presentation of sialolithiasis depends on the stage of the disease.
In the early stage, patients may experience only pain during meals, which is usually mild and not pronounced.
In the clinically advanced stage, pain during eating becomes more intense, and swelling appears in the area of the affected salivary gland. Within 30–40 minutes after stopping food intake, the pain and swelling (salivary colic) subside.
In the late stage of the disease, persistent swelling of the gland and purulent discharge from the duct may occur. In addition, some patients complain of dryness in the oral cavity.”
Как проявляется СКБ

Disease Symptoms and Stages

01

Early Stage of Sialolithiasis

At this stage, the predominant symptom is mild pain associated with eating. Patients may experience discomfort in the area of the affected salivary gland; however, these painful sensations usually subside after the meal.

02

Clinically Evident Stage of the Disease

During the second stage of the disease, pain associated with eating becomes more pronounced. Swelling appears in the area of the affected salivary gland. This swelling, accompanied by pain known as salivary colic, typically resolves within 30–40 minutes after the end of a meal.

03

Late Stage of Sialolithiasis

In the advanced stage of sialolithiasis, persistent swelling of the affected salivary gland may develop. Patients may also experience purulent discharge from the salivary duct. Furthermore, some patients report symptoms of dry mouth (xerostomia) at this stage of the disease.

Do you recognize these symptoms?

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Diagnosis of patients with sialolithiasis

Diagnosis and assessment of sialolithiasis

01.

Salivary Gland Contrast Sialography

Contrast sialography is an X-ray-based diagnostic technique for imaging the salivary gland ductal system, involving the injection of a radiopaque contrast medium into the ducts. The method provides information about ductal anatomy, patency, and caliber. It also allows assessment of the spatial relationship between the salivary stone and the ductal system. Radiolucent stones are visualized on sialograms as filling defects within the duct. This diagnostic procedure should only be performed during the remission phase of the disease.

Sialography of the right submandibular salivary gland
Contrast sialography of the right parotid gland. The salivary stone is identified as a ductal filling defect.й ж
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02.

Computed tomography (CT scan)

Computed tomography (CT) of the salivary glands can be performed during an exacerbation of sialolithiasis. A CT scan can visualize a salivary stone and determine its three-dimensional location in relation to the bones of the facial skeleton. If the CT scan slice thickness is large, a small salivary stone may remain undiagnosed.

CT image of the skull. The arrow points to a salivary calculus (sialolith).

Three-dimensional CT reconstruction of the skull. The arrow points to a salivary calculus (sialolith).

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03.

Ultrasound Imaging

Ultrasound examination of the salivary glands allows the detection of a salivary stone by the characteristic acoustic shadow (echogenic trail) displayed on the screen. Modern ultrasound systems can assess the functional state of the gland, the degree of blood supply, and other parameters. Another advantage of ultrasound is that it can be performed during an exacerbation of sialolithiasis.
Fig. Ultrasound image showing an acoustic shadow (trail) of a salivary stone.

The ultrasound image demonstrates a salivary stone with a characteristic posterior acoustic shadow (“acoustic trail”).

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Treatment of sialolithiasis

Management of patients with sialolithiasis

In our practice, salivary gland-preserving treatment has been performed in 99% of patients. We adhere to organ-preserving treatment approaches because the salivary gland not only produces saliva but also performs many other important physiological functions in the body.

It is well known that removal of a salivary gland can be associated with the development of various disorders, including gastritis, colitis, and others. This is why, for example, pilots who have undergone removal of one salivary gland may be restricted from performing flights.

Furthermore, patients with sialolithiasis have an increased risk of stone formation in other salivary glands. In such cases, removal of multiple salivary glands may lead to xerostomia (dry mouth).

Management of patients with sialolithiasis
The process of salivary stone fragmentation in the submandibular gland.

In order to preserve the salivary gland in patients with sialolithiasis, we first consider the possibility of extracorporeal ultrasound-guided fragmentation of salivary stones.

This procedure is performed without anesthesia. A focused shock wave with very high pressure is directed at the salivary stone to break it apart. Under the influence of the high pressure, the stone is fragmented into multiple small pieces, which are then naturally expelled through the salivary duct into the oral cavity..

Lateral skull X-ray. The salivary calculus (sialolith) is indicated by the arrow.
Fragments of a salivary calculus (sialolith) discharged into the oral cavity after fragmentation.
Radiograph after the third session of salivary stone fragmentation.
The radiograph obtained after the fourth session of salivary stone fragmentation shows no visible residual stone fragments.
Unfortunately, due to various factors, extracorporeal fragmentation is not suitable for all patients.

Therefore, the next treatment option in the management of patients with sialolithiasis is a minimally invasive and high-tech endoscopic method for removing salivary stones.
This technique requires a special endoscope with an extremely thin working channel and various disposable retrieval baskets for capturing and extracting the stones.

Sialography of the left parotid gland. The salivary calculus (sialolith) is indicated by the arrow..

A semi-rigid endoscope with a diameter of 1.1 mm.

The endoscopic image demonstrates a salivary calculus (sialolith) located within the salivary duct.

The salivary calculus (sialolith) is captured using a disposable stone retrieval basket.

The salivary calculus (sialolith) was extracted using a stone retrieval basket.

Extracted salivary calculus (sialolith).

A new ductal orifice has been created in the anterior portion of the parotid duct.

Large salivary stones are often located behind an area of severe ductal narrowing. If there is a significant difference between the diameter of the narrowed duct segment and the size of the stone itself, endoscopic removal of the calculus becomes impossible because the duct walls cannot stretch sufficiently.
In such cases, we are forced to use various organ-preserving surgical techniques for stone removal from different parts of the submandibular and parotid ducts through an intraoral approach with endoscopic assistance.
When the stone is located in the posterior parts of the submandibular duct, difficulties arise due to the limited accessibility of this anatomical region and the presence of numerous blood vessels and nerves..

Orthopantomogram of a patient with right submandibular gland sialolithiasis. The salivary calculus (sialolith) is indicated by the arrow..

Sialography of the same patient.

Orthopantomogram of the same patient after intraoral removal of the salivary calculus. No residual salivary stone is identified.

Extracted salivary calculus (sialolith).

In almost all cases following salivary stone removal, surgical creation of a new ductal ostium is required. The newly formed orifice improves drainage of the salivary duct contents and significantly reduces the risk of recurrent sialolith formation.Почти во всех случаях после удаления слюнного камня приходится проводить операцию по созданию нового устья протока. Новое устье облегчает эвакуацию содержимого протока. Это в разы снижает риск повторного камнеобразования.

Этап создания нового устья протока. В проток установлен пластиковый катетер.

Сформированное широкое новое устье протока.

When a salivary stone is located in the posterior or middle sections of the parotid duct, the surgical treatment strategy depends on the anatomical structure of the ductal system. If the duct has a single or double dilatation, microsurgical reconstruction of the duct can be performed in order to preserve salivary gland function.

Sialography of the right parotid gland. The arrow indicates a salivary calculus (sialolith) located within the dilated segment of the duct.

The salivary calculus (sialolith) (indicated by the arrow) was removed via an external surgical approach.

Reconstruction of the dilated segment of the salivary duct was performed.

The patient’s appearance 2 years after surgery.

Sialography of the right parotid gland 2 years after salivary stone removal and ductal reconstruction. The reconstructed duct segment demonstrates normal caliber. размеры.

All of the above-mentioned organ-preserving methods for salivary stone removal have been thoroughly developed by us and are routinely used in daily clinical practice. However, despite this, there are patients (approximately 1 in 100) for whom, due to various factors, the use of organ-preserving techniques is not advisable.
In patients with salivary stones located in the parotid gland, we suppress the excretory function of the gland by ligation of the ducts. In patients with stones located in the submandibular salivary gland, we remove the stone together with the gland under general anesthesia in a hospital setting.

An abnormally dilated parotid duct is one of the indications for surgical elimination of the excretory function of the parotid gland using the Afanasyev–Starodubtsev–Abdusalamov (ASA) technique.

Treatment details +

Principal treatment options

Ultrasound extracorporeal shock wave lithotripsy (ESWL) of salivary stones

  • Performed without anesthesia.
  • The stone is fragmented using a focused shock wave.

Endoscopic treatment of sialolithiasis

  • Minimally invasive technique.
  • A special endoscope and disposable stone retrieval baskets are used.

Salivary gland-preserving surgery

  • Used when the stone cannot be accessed endoscopically or when the duct cannot be adequately dilated.

Creation of a new salivary duct ostium.

  • Helps reduce the risk of recurrent salivary stone formation.

Salivary duct reconstruction.

  • Used in patients with complex parotid gland ductal anatomy.
  • Allows preservation of salivary gland function.

Salivary gland removal / duct ligation.

  • Used rarely (approximately 1 case per 100 patients) when other treatment options are not feasible.
Book an appointment

How to book a consultation

1

Choose a visit date.

When choosing the date of your visit, please keep in mind that during an acute exacerbation of the disease, many important diagnostic procedures and the main treatment methods cannot be performed. In such cases, the visit should be postponed until the acute inflammatory symptoms in the salivary gland have subsided.
In most cases, the diagnosis and treatment of patients can be completed within one day.
2

Send a request

Please contact us in advance by phone or send a message to schedule your appointment.
3

Please come at the agreed time.

We will carry out the necessary diagnostic procedures and, if possible, begin treatment on the same day.
Expert management of every stage of sialolithiasis
Submit a request — receive an individual treatment plan
Trusted by our patients

What our patients say

I would like to express my gratitude to surgeon Magomed Rasulovich Abdusalamov for the operation he performed. He is a Doctor of Medical Sciences, Professor, and a truly gifted physician with exceptional skills.
I would also like to thank Dr. Denis Andreyevich Parinov, a compassionate and highly qualified specialist.
Thank you all for your dedication and hard work. I wish you continued success in your noble mission of helping patients.

Lyubov Petrovna Malashina

I came to Magomed Rasulovich with a salivary gland stone. I had postponed the operation for a long time, but when the stone reached 8 mm, I decided to proceed. I have not regretted it for a single moment!
Despite the complexity of the case (the stone was large and located deep within the gland), everything went smoothly and painlessly.
My deepest gratitude to the doctor and his assistant, Akhmet Sharabudinovich — they are true professionals!

Sergey Logunov

Highly qualified doctors. We have visited both the adult and pediatric dentistry departments, and everything was simply 100 out of 100!
In pediatric dentistry, I highly recommend Galiya Rashidovna Arifullina — she saved my son’s tooth! Other clinics recommended placing a crown, but she was able to preserve it.
In adult dentistry, I recommend Magomed Rasulovich Abdusalamov. Last year, he removed a salivary gland stone and performed duct reconstruction. Everything went perfectly.!

Elena Borodina

I would like to join all the positive reviews about the clinic!
Magomed Rasulovich is a true master of surgery, an outstanding person, and an exceptional doctor. He is the kind of physician who does not recommend unnecessary procedures, preserves what can be saved, and corrects mistakes made by even the most “fashionable” and highly promoted clinics — not every specialist is willing or able to take on such cases.
Everything is precise, unobtrusive, and genuinely human. Finding such a professional is truly invaluable!
I would also like to thank his assistant Ahmed for his attentiveness and support throughout the treatment process.
Stay healthy, Magomed Rasulovich — we truly appreciate everything you do! 🙂
With respect,
Evgeniya
I would like to express my deepest gratitude to Magomed Rasulovich — a doctor with truly gifted hands who was able to remove a very large stone from my salivary gland. He is a true professional, and I had no doubts whatsoever about the correctness of his decisions and actions.

Yuri Vasilyev

I came from Europe to see a unique specialist who removed a stone from my salivary gland. In London, this is a very expensive operation, and in most cases the stone is removed together with the gland.
I highly recommend not wasting time with other doctors and going directly to Professor Magomed Rasulovich Abdusalamov, a truly exceptional specialist, for salivary stone removal.
I express my deepest gratitude to this outstanding doctor and true healer.
With respect,
Michael

Michael S.

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Clinic contact information

+7 (925) 506 15 03
+7 (909) 990 00 19

Premises X, 2nd floor, Building 4,
Block 2, Kochnovsky Proezd, Moscow 125319, Russia.

Open daily 10:00-19:00