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Salivary Gland Calculi/Sialadenitis

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Inflammation and/or infection involving one or more salivary gland

  • Sialolithiasis is the cause of ~90% of all obstructive salivary gland diseases.

  • Salivary obstruction is usually chara...

DIAGNOSIS

HISTORY

  • Review immunization history.

  • History of:

    • Alcoholism, bulimia, malnutrition

    • Recent dental work, oral surgery

    • Radiation therapy

    • TB or HIV exposure

  • Acute onset of pain and swelling over the ...

TREATMENT

GENERAL MEASURES

  • Maintain hydration.

  • Apply warm compresses with massage.

  • Maintain good oral hygiene.

  • Antibiotics if indicated by diagnosis

MEDICATION

First Line

  • Antistaphylococcal penicillins (nafc...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Provide regular follow-up visits for patients with chronic sialadenitis.

  • Avoid prescribing medications that cause xerostomia.

Patient Monitoring

Continue to monitor ...

REFERENCES

1
Schwarz D, Kabbasch C, Scheer M, et al. Comparative analysis of sialendoscopy, sonography, and CBCT in the detection of sialolithiasis. Laryngoscope.  2015;125(5):1098–1101. [View Ab...

ADDITIONAL READING

Koch M, Zenk J, Iro H. Algorithms for treatment of salivary gland obstructions. Otolaryngol Clin North Am.  2009;42(6):1173–1192. [View Abstract on OvidMedline] 

CODES

ICD10

  • K11.5 Sialolithiasis

  • K11.20 Sialoadenitis, unspecified

  • K11.21 Acute sialoadenitis

  • K11.23 Chronic sialoadenitis

  • K11.22 Acute recurrent sialoadenitis

ICD9

  • 527.5 Sialolithiasis

  • 527.2 Sialoadenitis

SNOMED

CLINICAL PEARLS

  • Sialadenitis is associated with conditions that predispose patient to xerostomia.

  • Sialadenitis occurs in debilitated patients who lack ability to control hydration.

  • Mainstay of treatment...

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