Sialadenitis
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| Sialadenitis(Sialoadenitis) | |
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| Classification and external resources | |
Micrograph showing chronic sialadenitis. H&E stain. |
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| ICD-10 | K11.2 |
| ICD-9 | 527.2 |
| MeSH | D012793 |
Sialadenitis is inflammation of a salivary gland. It may be subdivided temporally into acute, chronic and recurrent forms. Alternate spelling:Sialoadenitis
[edit] Acute Form
- Predisposing factors
- decreased flow (dehydration, post-op, drugs)
- poor oral hygiene
- exacerbation of low grade chronic sialoadenitis
- Clinical features
- Painful swelling
- Reddened skin
- Oedema of the cheek, Periorbital region and neck
- low grade fever
- malaise
- raised ESR, CRP, leucocytosis
- purulent exudate from duct punctum
[edit] Chronic Form
- Clinical Features
- unilateral
- mild pain / swelling
- common after meals
- duct orifice is reddened and flow decreases
- may or may not have visible/palpable stone.
- Parotid gland
- Recurrent painful swellings
- Submandibular gland
- Usually secondary to sialolithiasis or stricture
Treatment: antibiotics that cover oral flora (Augmentin or Clindamycin) Steroids for swelling and inflammation Sour candy and foods to stimulate saliva excretion Pain control Hydration
[edit] See also
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