Sialadenitis: Difference between revisions

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	Sialadenitis(Sialoadenitis);
	Micrograph showing chronic sialadenitis. H&E stain.

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VisualWikitext

Revision as of 20:04, 18 December 2012

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Sialadenitis (sialoadenitis) is inflammation of a salivary gland. It may be subdivided temporally into acute, chronic and recurrent forms.

Acute

Predisposing factors

decreased flow (dehydration, post-operative, drugs)
poor oral hygiene
exacerbation of low grade chronic sialoadenitis

Clinical features

Painful swelling
Reddened skin
Edema of the cheek, Periorbital region and neck
low grade fever
malaise
raised ESR, CRP, leucocytosis
purulent exudate from duct punctum

Chronic

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

In chronic recurrent sialadenitis or chronic sclerosing sialadenitis, acute attacks are managed with conservative therapies such as hydration, analgesics (mainly NSAIDs), sialogogues to stimulate salivary secretion, and regular, gentle gland massage.^[1] If infection is present, appropriate cultures should be obtained, followed by empirical antibiotic therapy initially,^[1] for example amoxicillin/clavulanate or clindamycin which cover oral flora.

If there are attacks more than approximately 3 times per year or severe attacks, surgical excision of the affected gland should be considered.^[1]

Related Chapters

Sialoendoscopy

References

↑ ^1.0 ^1.1 ^1.2 bestpractice.bmj.com > Sialadenitis Last updated: Sep 08, 2011

Template:Oral pathology Template:Inflammation

Template:Pathology-stub

ar:التهاب الغدة اللعابية de:Sialadenitis eu:Sialadeniti it:Scialoadenite kk:Сиаладенит

[bestpractice-1] 1.0 ^1.1 ^1.2 bestpractice.bmj.com > Sialadenitis Last updated: Sep 08, 2011

[1]

@@ Line 1: / Line 1: @@
+__NOTOC__
 {{Infobox_Disease |
-   Name           = {{PAGENAME}} |
+   Name           = Sialadenitis(Sialoadenitis) |
-   Image          = |
+   Image          = chronic sialadenitis.jpg|
-   Caption        = |
+   Caption        = [[Micrograph]] showing '''chronic sialadenitis'''. [[H&E stain]].|
-  DiseasesDB     = |
-  ICD10          = {{ICD10|K|11|2|k|00}} |
-  ICD9           = {{ICD9|527.2}} |
-  ICDO           = |
-  OMIM           = |
-  MedlinePlus    = |
-  eMedicineSubj  = |
-  eMedicineTopic = |
-  MeshID         = D012793 |
 }}
 {{SI}}
 {{CMG}}
+==Overview==
+'''Sialadenitis''' ('''sialoadenitis''') is [[inflammation]] of a [[salivary gland]]. It may be subdivided temporally into acute, chronic and recurrent forms.
+==Acute==
+;Predisposing factors:
+* decreased flow (dehydration, post-operative, drugs)
+* poor oral hygiene
+* exacerbation of low grade chronic sialoadenitis
+;Clinical features:
+* Painful swelling
+* Reddened skin
+* Edema of the cheek, Periorbital region and neck
+* low grade fever
+* malaise
+* raised ESR, CRP, leucocytosis
+* purulent exudate from duct punctum
+==Chronic==
+;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:
+In chronic recurrent sialadenitis or chronic sclerosing sialadenitis, acute attacks are managed with conservative therapies such as hydration, [[analgesics]] (mainly [[NSAIDs]]), [[sialogogue]]s to stimulate salivary secretion, and regular, gentle gland massage.<ref name=bestpractice>[http://bestpractice.bmj.com/best-practice/monograph/1038/treatment/step-by-step.html bestpractice.bmj.com > Sialadenitis] Last updated: Sep 08, 2011</ref> If infection is present, appropriate cultures should be obtained, followed by empirical antibiotic therapy initially,<ref name=bestpractice/> for example [[amoxicillin/clavulanate]] or [[clindamycin]] which cover oral flora.
+If there are attacks more than approximately 3 times per year or severe attacks, surgical excision of the affected gland should be considered.<ref name=bestpractice/>
-==Overview==
+==Related Chapters==
-'''Sialadenitis''' is inflammation of a [[salivary gland]]. It may be subdivided temporally into acute, chronic and recurrent forms.
+*[[Sialoendoscopy]]
+==References==
+{{reflist|2}}
 {{Oral pathology}}
+{{Inflammation}}
+[[Category:Inflammations]]
+[[Category:Mouth diseases]]
-{{WikiDoc Help Menu}}
+{{pathology-stub}}
-{{WikiDoc Sources}}
-[[Category:Disease]]
+[[ar:التهاب الغدة اللعابية]]
-[[Category:Otolaryngology]]
+[[de:Sialadenitis]]
+[[es:Sialadenitis]]
+[[eu:Sialadeniti]]
+[[it:Scialoadenite]]
+[[kk:Сиаладенит]]
+[[pt:Sialadenite]]
+[[ru:Сиаладенит]]


Sialadenitis(Sialoadenitis)
Micrograph showing chronic sialadenitis. H&E stain.