Chronic obstructive parotitis, also known as parotid ductal inflammation, is an obstructive condition caused by localized causes such as ductal calculi and localized post-bite scarring leading to ductal obstruction. Ductal dilatation, follicular atrophy and retention of secretions in the ductal lumen are the main pathologic features. The disease is most common in middle age, with multiple unilateral involvement. Swelling is associated with eating in about half of the patients, and is mostly associated with eating, as a result of increased and viscous salivary secretion during eating, which obstructs drainage. On examination, the parotid gland is found to be enlarged with tenderness and pressure, the ductal opening is red and swollen, and cloudy or viscous saliva can be squeezed out, which often feels to the patient like salty fluid coming out. Generally a contrast of the parotid gland is performed, which shows partial dilatation and narrowing of the dominant duct and interlobar ducts in a weenie-like fashion; punctate dilatation can be seen after a certain amount of time has elapsed since its development. There used to be two types of treatment: duct ligation and superficial lobectomy of the parotid gland with preservation of the facial nerve. The former may result in spontaneous rupture of the abscess. The latter may cause facial paralysis due to damage to the facial nerve and lack of fullness of the affected face. In the last few years, we have developed salivary gland endoscopy, which allows us to remove the pus plugs and stones in the ducts with the help of fiber optic fibers and other instruments, and to inject medications into the localized inflammation with good therapeutic results. Moreover, the access to the procedure is chosen at the ductal opening in the mouth, so there are no facial scars.