Sialoadenitis

Revision as of 01:28, 17 September 2015 by Bisakson (talk | contribs) (→‎Treatment)

Background

  • Occurs from outflow obstruction by a stone or calculus in the salivary gland or duct
  • Submandibular location most commonly
    • More viscous secretions and runs an uphill course

Clinical Features

  • Xerostomia (dry mouth) along
  • Increasing swelling and pain during mealtime

Treatment

  • Pass spontaneously
  • Start on sialogogues (e.g., sour lozenges), which stimulate salivary secretions and help expel the stone
  • Palpable stones may also be “milked” from the duct
    • Stroking in a posterior to anterior direction.
  • If infected, consider Amoxicillin/Clavulanate or Clindamycin

Also See

Sources

Knoop The Atlas of Emergency Medicine, pg 124

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