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Salivary Gland Calculi/Sialadenitis

Sahil Mullick, MD and Sudeshna Dutta, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Inflammation of one or more salivary glands

  • Infectious, obstructive, or autoimmune.

  • "Sialolithiasis" is characterized by a painful swelling of the affected gland when eating due to an ...

DIAGNOSIS

Most (80-80%) salivary gland stones occur in the submandibular glands, 6-20% occur in the parotid gland and 1-2 % occur in the sublingual or minor salivary glands. Submandibular stones are m...

TREATMENT

GENERAL MEASURES

  • Maintain hydration.

  • Apply warm compresses.

  • Massage the gland and milk the duct.

  • Sialagogues (agents that promote salivary flow) like tart, lemon juice and hard candies (lemon dr...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Avoid prescribing medications that cause xerostomia. 

Patient Monitoring

Monitor patients with chronic sialadenitis because decreased salivary gland function due to...

REFERENCES

1
Kao WK, Chole RA, Ogden MA. Evidence of a microbial etiology for sialoliths. Laryngoscope. 2020 Jan;130(1):69-74.
2
Goncalves  M, Mantsopoulos  K, Schapher  M, et al. ...

CODES

ICD10

  • K11.5 Sialolithiasis

  • K11.20 Sialoadenitis, unspecified

  • K11.21 Acute sialoadenitis

  • K11.23 Chronic sialoadenitis

  • K11.22 Acute recurrent sialoadenitis

SNOMED

  • 28826002 sialolithiasis (disorder)

  • 429820...

CLINICAL PEARLS

  • ​​​​Mainstay of treatment is hydration, good oral hygiene, sialogogues, and possible surgical excision.

  • Nonpharmacologic agents that promote salivary flow like tart and hard candies suc...

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