Sialadenitis

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Sialadenitis(Sialoadenitis)
Classification and external resources

Micrograph showing chronic sialadenitis. H&E stain.
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

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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