Simini Boards Cast

Chapter 88 - Part B: The Sialocele Trap: Why Drainage Always Fails

Simini Podcasts Season 1 Episode 77

In this BoardsCast episode, we continue Tobias Chapter 88 – Salivary Glands by examining one of the most misunderstood conditions in small animal surgery:
the sialocele.

Sialoceles look like abscesses, behave like cysts, and fool clinicians into thinking drainage will fix the problem. But drainage always fails — because the underlying issue is not the fluid… it’s the leaking gland or duct producing it.

This episode breaks down the diagnosis, the physiology, the surgical plan, and exactly what the boards expect you to know.

You’ll learn:

  • What a sialocele really is — and why it forms
  • Why draining or aspirating it solves nothing
  • The specific glands and ducts that fail
  • How to differentiate mucoceles, ranulas, cervical sialoceles & pharyngeal masses
  • Why mandibular–sublingual gland excision is the gold standard
  • When marsupialization works — and when it won’t
  • Board-relevant diagnostic patterns, imaging findings & surgical pitfalls

If you’ve ever been tempted to “just drain it,” this episode explains why that guarantees recurrence.

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