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

Kao WK, Chole RA, Ogden MA. Evidence of a microbial etiology for sialoliths. Laryngoscope. 2020 Jan;130(1):69-74.

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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