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Sialolithiasis (also termed salivary calculi, [1] or salivary stones) [1] is a crystallopathy where a calcified mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland (also termed "Wharton's duct"). Less commonly the parotid gland or rarely the sublingual gland or a minor salivary gland may develop ...
When the diameter of the stone is 5mm or less, it can be removed purely by an endoscopic technique, particularly when the stone is located above the muscles that comprise the floor of the mouth. The four common techniques used to remove the salivary gland stones are: The grasping technique; Using a small wire basket retrieval system
Blockage, whether caused by salivary duct stones or external compression, may cause pain and swelling of the parotid gland . Koplik's spots which are pathognomonic of measles are found near the opening of the parotid duct. The parotid duct may be cannulated by inserting a tube through the internal orifice in the mouth. [2]
The parotid gland is usually swollen and tender. Parotid swelling usually occurs 16–18 days after exposure to the virus. Treatment includes isolation and therefore prevention of spread of the disease and supportive measures such as hot or cold packs. Mumps usually resolves itself and can be prevented by vaccination. [4]
total parotidectomy - total removal of the deep part of the parotid gland. Typically performed if neoplasm is affecting deep part of parotid gland. [5] Surgeon tries to remove the gland apart from the facial nerve, yet dissecting all branches of the facial nerves. [5] This method can be done using the transcervical surgical approach. [1]
Fast neutron therapy has been used successfully to treat salivary gland tumours, [13] and has shown to be significantly more effective than photons in studies treating unresectable salivary gland tumours. [14] [15] Chemotherapy Currently little is known about the efficacy of chemotherapy in treating salivary gland tumours. Chemotherapy, which ...
Salivary gland dysfunction affects the flow, amount, or quality of saliva produced. A reduced salivation is termed hyposalivation . Hyposalivation often results in a dry mouth condition called xerostomia , and this can cause tooth decay due to the loss of the protective properties of saliva.
Strictures are the second most common cause of chronic obstructive sialadenitis, after salivary stones. [1] In line with this, strictures may give rise to the "meal time syndrome", [1] where there is pain and swelling of the involved salivary gland upon salivary stimulation with the sight, smell and taste of food.